Form Center

2. If you need help with specific household chores, complete and submit the form below. Someone will contact you.

   You are responsible for negotiating the time/date of service, and fees (if any). You may also be responsible for securing the equipment and/or tools necessary to do the work.

4. First Name*
5. Last Name*
7. Email Address*
8. Phone Number*
10. Address*
12. City
13. State
14. Zip Code
16. Are you age 18 or over?*

    1. Yes
    2. No
17. What type of assistance are you looking for?*

    1. Mowing lawns
    2. Painting
    3. Raking leaves
    4. Snow removal (shoveling or blowing)
    5. Sweeping (patios / driveways / garages)
    6. Trimming shrubs/bushes
    7. Washing outdoor patio furniture
    8. Weeding
19. Agreement*

    I understand that I am registering for a voluntary program.  With my signature below, I agree to indemnify and hold harmless the Village of La Grange Park and its employees, officers, and appointed officials for any injury or damages which may arise as a result of my participation in the HELP program. I understand that I am responsible for contacting the volunteer name(s) provided to me.  I understand that I may have to supply my own tools and equipment and/or negotiate with the volunteer to use theirs to undertake the work.

    1. Agree
    2. Disagree
Leave This Blank:


21. 1. Receive an email copy of this form.
22. Email address

    This field is not part of the form submission.

23. Submit

* indicates a required field