test html> Free Lawn Maintenance for Senior Citizens, Military Veterans, People with Disabilities, Cancer Patients & Single Parents Client Sign Up Existing client? Login here We keep your personal information private, safe, and secure. (Learn More) First Name Last Name Email Phone Number Date of Birth January February March April May June July August September October November December for($i = 1; $i <= 31; $i++) { echo("{$i}"); } ?> for($i = date('Y')-100; $i <= date('Y'); $i++) { echo("{$i}"); } ?> Password Re-Password Relationship to Client Self Other Your Name Your Connection Family Client Other Explain Your Connection Enter Street Address City State Zip Upload current photo(s) of property needing work (Optional) ↓ Fast Pass Verification - Move up the Queue ↓ Upload Additional Documents Here to Verify Household Income Information (OPTIONAL) ↑ We prioritize efforts to help confirmed low to moderate household income individuals and families ↑ Proof of age photo ID (driver’s license, state ID, passport etc.) Proof of total pre-tax income per household. Most current year -- 2020 -- income tax return (1040 form) REQUIRED for income verification. No exceptions! Proof of home ownership (property tax bill) Services Requested $cat_args = array( 'orderby' => 'term_id', 'order' => 'ASC', 'hide_empty' => false, ); $terms = get_terms('request-category', $cat_args); foreach($terms as $langCat){ $pic = '/images/LawnMowingIcon.png'; if($langCat->name == 'Snow Removal') { $pic = '/images/snowflake.png'; } ?> name;?> Do you provide your own landscaping equipment? Yes No onclick="if($('#blockMilitaryType').css('display') == 'none'){$('#blockMilitaryType').show()} else{$('#blockMilitaryType').hide()}"> Served in Military? Air Force Navy Army Marines National Guard Coast Guard onclick="if($('#blockActiveMilitary').css('display') == 'none'){$('#blockActiveMilitary').show(); $('#textServedMilitary').css('text-decoration','line-through');} else{$('#blockActiveMilitary').hide();$('#textServedMilitary').css('text-decoration','none');}"> Active Military Family? Link Here Disabilities? Tell us anything else about you, your story, etc. (Optional) Agree to be contacted by a helper nearby either by email, phone or SMS text message? Did you mean to signup as a volunteer to help out local neighbors? Click Here