Helping Hands Registration Form

Nominator's Information

Your First & Last Name

Your Phone

Your Email

What is your preferred method of communication?

Phone Call

Text

In Person

Does the Nominee know that you are nominating them?

The Nominee must know that they were nominated before Harmony Helpers LLC can contact them to schedule. You can wait to tell them when /if they are chosen for these services.

Nominee's Information

First name

Last name

Address

Phone

Tell us why the nominee needs this service.

Upload photos, videos, and other supporting documentation.

I have read the terms and conditions and the nominee above meets the qualifications listed.

I acknowledge that the waitlist for this service can be weeks or months long. Harmony Helpers LLC will review every nomination and contact me as soon as possible with any questions.

I acknowledge that Harmony Helpers LLC can refuse to start or complete this free service for any reason at any time and Harmony Helpers LLC is not obligated to give an explanation.

I acknowledge that Harmony Helpers LLC is in NO way guaranteeing that the nominee will be chosen to receive services.

I acknowledge that excessive calling, texting, messaging, or emailing Harmony Helpers LLC regarding this nomination will result in the termination of the nomination. Harmony Helpers LLC is a "for-profit" business that gives back to the community by helping those in need as often as possible. The company still has obligations. Nominees and Nominators must be respectful of the business to receive free services.