Resident Application [Senior Friendly Form]

To qualify for SnowBusters, you and your household MUST meet all of the following criteria:*

By checking each box, you certify that you and your household meet all criteria. If it is discovered that there are discrepancies in your application, you may be terminated from the program.

Strathcona County Resident
Net Annual Income does not exceed $28,785 for a single income household or $46,745 for a dual income household
Physically unable to maintain the yard
Are solely responsible for keeping the walks and driveways free of snow and ice
There are no persons in the residence that are physically able to maintain the yard (e.g no children or grandchildren)

What is your name?*

If you are a couple with the same last name, please add both first names (e.g Linda and John)

First Last

What is your phone number?*

If you are active on email, please enter your email:

What is your address?*

Street Address City Province Postal Code

Where will you need the service?*

Select All
Front Sidewalk
Private pathway to front door
Private Driveway

Equipment Disclosure: Please mark all snow removal equipment you have available that is in working order/good condition for our volunteers to use:*

Select All
Snow blower (if gas powered, fuel must be provided)
Shovel(s)
Scraper(s)
De-icer (salt/gravel etc.)

Would you like to provide us with an emergency contact?*

Yes
No

Emergency Contact Name

First Last

Emergency Contact Phone

Please check each box to signify you have read, understand, and agree to adhere to the below standards:*

I, the undersigned resident of the property above, grant permission to Volunteer Strathcona and its volunteers to enter my property for the purpose of clearing snow off my private pathway and private driveway.
I agree that Volunteer Strathcona is not responsible for any damages sustained by me by virtue of the snow removal on my private pathway and/or private driveway.
I agree to hold harmless and indemnify Volunteer Strathcona for any and all injuries and other financial losses that arise out of the Volunteer Strathcona removing snow off my private pathway and private driveway.
I grant permission to enter the property until I cancel the service.
I certify that all information provided above is true and accurate to my knowledge.

Abuse Policy*

Verbal and/or physical abuse and all forms of inappropriate behavior towards residents and/or volunteers will not be tolerated in this program. Residents and volunteers are to advise the Volunteer Strathcona office immediately upon being abused or having had inappropriate behavior directed at him/her by anyone active in this program during the 2020/2021 season. The alleged abuser or person acting inappropriately will be terminated from the program immediately and will not be considered for future programs.

COVID-19 AHS Safety Precautions*

In order to protect our volunteers, ourselves, and our residents, we require that volunteers and residents agree to adhere to the precautions set in place by Alberta Health Services:
-stay home and away from others if sick or in isolation
-wash hands often, using soap and water for at least twenty seconds
-cover coughs and sneezes
-avoid touching face with unwashed hands
-avoid travel outside Canada
-social distance when possible (2m or 6ft)
-self-isolate for 14 days if returning from travel outside Canada or were exposed to COVID-19

I agree to the policy.

Disclaimer and Legalities*

I declare that I have been given full opportunity to read this policy and to seek legal advice about its content and effect as I deem appropriate, and I do hereby freely and voluntarily agree and consent to its terms, and agree to be bound by its content.

By clicking the above checkbox on this online form, you agree, understand, and declare that in volunteering to perform lawn-care assistance on private front and back lawns of the resident(s) you are assigned to:
I, the undersigned resident of the property above, grant permission to the Volunteer Strathcona Centre (“Volunteer Strathcona”) and its volunteers to enter my property for the
purpose of yard maintenance and I certify that all the information I have provided in this application is true and correct, to the best of my knowledge.
I agree that the Volunteer Strathcona is not responsible for any damages sustained by me by virtue of the lawn-care on my private pathway and private driveway.
I agree to indemnify the Volunteer Strathcona for any and all liability for personal and property damage, injury, or death, damages, costs, charges, and expenses for any persons; or property loss or damage to me, my heirs, successors, assigns, or anyone who may advance a claim through me, arising from yard maintenance performed by a LawnBuster program volunteer.

Please type your full name in lieu of a signature:*

Do you need assistance with snow removal? Let us give you a hand!

Please complete the application below. Remember to press “Submit” when you are done!

If you need assistance completing the application, please call 780-464-4242