Snow Buddies Application for Help || Butte Mutual Aid Network

Snow Buddies Application for Help

Snow Buddies is a voluntary program administered by Butte Mutual Aid Network to help those in need with snow shoveling.

This service is available to Butte residents who:

Are physically unable to shovel their own sidewalk,
Cannot afford to pay for these services, and
Do not have neighbors, family or friends to assist them.

**Please be aware, for the most part, our Snow Buddy volunteers are your neighbors. They are not contracted with the Butte Mutual Aid Network; we merely serve as a point of contact to help make matches. Butte Mutual Aid Network will do its best to match people, however, if a match cannot be found, residents are still responsible for proper snow removal.

First Name:	Last Name:
Email Address (if applicable):	Required* Phone Number:
Required* Street Address:	Required* Zip Code:

Required*

Is your house a corner lot?
Yes No

Do you feel comfortable with Butte Mutual Aid Network sharing your phone number with your buddy?
Yes No

Do you have a snow shovel available for the volunteer to use?
Yes No

Any additional notes to be aware of: (dogs, etc)

RESIDENT CONSENT, RELEASE OF LIABILITY, COVENANT NOT TO SUE, AND HOLD HARMLESS
I hereby request placement as a recipient in the Snow Buddies Program. I understand that the program is set up to help me meet the Butte Silver Bow regulations regarding snow removal. I have read and understand the Recipient Guidelines and understand that I should not invite volunteers into my home. I will call Butte Mutual Aid Network at (406) 494-8688 with any questions, concerns, or requests.

I hereby release the Butte Mutual Aid Network, its officers, employees, volunteers, and agents (collectively, "Releasees") from any and all liability for any and all claims and causes of action which I may hereafter have on account of any and all injuries and damage to me or my property, or loss of any other sort, arising out of or relating to my participation as a recipient in the Program and the services provided to me, or incidental thereto, whether caused by the negligence of the Releasees or any other person. In addition, I covenant and agree not to sue any of the Releasees, and agree to forever hold them and each of them harmless from any liability, claims, demands, actions, or causes of action whatsoever arising from my participation as a recipient in the Program and the services provided to me, whether such liability, claims, demands, or actions are the result of the negligence of the Releasees or any other person. This release of liability, covenant not to sue, hold harmless agreement shall be binding upon me and my heirs, executors, administrators, personal representatives, and assigns, and shall inure to the benefit of the Releasees and their successors and assigns. .

Snow Buddies Program Agreement: By signing this document you will be certifying that you have provided complete and accurate information about your eligibility for the program.
I wish to participate in the Snow Buddies Program and agree to the enclosed guidelines.

Required* Signature:
Date:

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