Mothers Helping Mothers - CLIENT AGREEMENT CONTRACT
ELIGIBILITY: I understand that items provided at MHM are for those that cannot afford such items and I will only use the store as needed to supplement by household income based on my current financial circumstances.
POLICIES: • Clients are permitted to shop once every four months • Client Photo ID (passport or driver license) must be shown at each visit • Clients are allowed to shop for their immediate family only (spouse and direct registered dependents only) Spouses will be added to the main client's account and will not have their own separate accounts. • . Clients may bring only ONE member of the family in the store to help them shop IF and only IF it is necessary. Otherwise, they will be asked to wait in the car. • Parent must bring Social Security cards or other legal documentation to register their children or they will not be allowed to shop for them. • Proof of pregnancy is required to shop for any baby items • Baby items are not to be taken if pregnant until 30 days before the baby is due and proof of pregnancy is required. Clients may return again early to collect these items prior to delivery if they still have needs • Clients may not shop for other family members unless management makes an exception • Only members registered in the clients file are to receive items taken from Mothers. • One appointment should be made for EACH household separately and not for multiple family members. They will need to make a separate appointment for their own family. • Items taken from MHM should be returned to MHM if they are no longer needed. Selling any item taken from MHM is grounds for removal from our system - NO exception Any violation of these policies may result in termination as a client.
MERCHANDISE WAIVER: Clients assume all responsibility for the safety inspection, proper installation, and proper use of all donated items. MHM will not be held liable for a client's failure to adhere to all safety guidelines.
MEDIA RELEASE: I authorize Mothers Helping Mothers to photograph and record me and any minor children accompanying me while participating in MHM programs or visiting MHM facilities. I understand these images and recordings may be used in print, digital, social media, fundraising, educational, and promotional materials without further notice or compensation.
LIABILITY WAIVER: I understand and agree that neither Mothers Helping Mothers, Inc., nor its trustees, officers, directors, agents or representatives may be held liable in any way for any injury, harm or damage while on the premises and hereby release MHM, its trustees, officers, directors, agents and representatives from any liability.
MEDICAL:I authorize MHM, Inc. through its trustees, officers, directors, agents or representatives to render or obtain such emergency medical care or treatment for me as may be necessary should any injury, harm or accident occur to me while participating in this activity.
TEXT SUBSCRIPTION: You will receive 3 (1 conformation and 2 reminder) text messages about your appointments an upcoming events. Standard Message and data rates may apply depending on your mobile phone service plan. For help reply HELP and to cancel at any time replay STOP.
I authorize Mothers Helping Mothers to photograph and record me and any minor children accompanying me while participating in MHM programs or visiting MHM facilities. I understand these images and recordings may be used in print, digital, social media, fundraising, educational, and promotional materials without further notice or compensation."