Contact US

To request free yard care assistance, you must complete our full referral form below. *

🛑 We are unable to process requests unless this form is fully completed.

First Name

Last Name

Phone *

(###)

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Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of Birth *

Note: Please enter your actual date of birth, not today’s date. This helps us verify eligibility for our services.

MM

DD

YYYY

This Person is: *

An elderly individual who needs assistance. [SelectOne]

Yes

No

This Person is: *

A disabled Individual who needs assistance: [SelectOne]

Yes

No

Consent for Recording and Media Release

We record the work done in front and back yards to showcase our projects and inspire community involvement.

*

I consent to the work being done on my yard being recorded for the purpose of sharing on website and social media.

*

I consent to the posting of the recorded videos on our social media to showcase our work and encourage others to volunteer.

Picture *

Would you be open to taking a group photo with our team after the work is complete, so we can celebrate and share the moment?

Yes

No

Interview me: *

Would you be open to sharing your story in a short interview or testimony? Your words can be a blessing to others and help us spread the message of service, love, and community. Note: Interviews are always optional and handled with care.

Yes

No

Prayer *

Would you like to join us in a brief prayer after the work is finished? We love to end each project with a moment of gratitude and blessing.

Yes

No

By submitting this request for assistance, I understand and agree to the following: *

Please read and approve each item below

I give Neighbors Eden Project and its volunteers permission to enter and perform yard care services on my property.

*

I understand that services involve the use of equipment that may involve physical risks or unintentionally damage property.

*

I release Neighbors Eden Project and its volunteers from any liability, claims, or damages arising from these services.

*

I understand that Neighbors Eden Project is not a professional landscaping company and services are provided as-is by volunteers.

*

I acknowledge that submitting this form does not guarantee service. Requests are reviewed based on safety and availability.

*

I have read, understood, and agree to all the terms and disclousures noted in this form.

*

I agree to help maintain a clean, safe yard environment by keeping the area free of excess trash, debris, or hazardous items after cleanup. I understand that ongoing service may be paused or discontinued if the yard becomes unsafe for volunteers or their equipment.