Point-In-Time Count - January 25, 2024

Arrive: 5:30 a.m.

Count/Survey: 6:00 a.m. - 10:00 a.m.

Deployment Center

City Hall

10500 Civic Center Drive

Rancho Cucamonga, CA

Completion of a virtual PITC training is required for all volunteers. The training includes information on how to engage vulnerable populations, basic information about PITC, and how to complete the survey via the mobile app. To view the trainings click here.

You will need an Android smartphone, iPhone, or iPad to participate. Your device should be no older than three to four years old and have at least 100MB of available space. AT&T, T-Mobile, and Verizon carriers are preferable. Please ensure your device meets the requirements below.

  • If you have an iPhone, make sure your operating system is at iOS 13 or later.
  • If you have an iPad, make sure your operating system is at iOS 13 or later, the iPad has cellular capabilities (not just Wi-Fi) and the ability to capture GPS information.
  • If you have an Android phone, make sure your operating system is at Android 6.0 (Marshmallow) or later.

On the day of the count, please arrive with your device fully charged and location services enabled. If you have a portable charging source for your device, please bring it with you as well.

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Contact Information

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Organization (your affiliation, if any)

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Is this your first time participating in the Point in Time Count?

Click to view answer

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Are you interested in preparing care packages that will be distributed to people experiencing homelessness? If so, save the date for January 16 from 12:00 p.m. - 1:30 p.m. at City Hall

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COVID-19 Liability Waiver
Check the box to acknowledge waiver
Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19 The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people. While COVID-19 can cause mild symptoms in some individuals, it can lead to severe illness and even death in others. Adults over age 65 and people of any age with serious underlying medical conditions including, but not limited to, HIV, asthma and other respiratory conditions, and pregnancy, may be a higher risk for more serious complications from COVID-19. The City of Rancho Cucamonga has put in place preventative measures to reduce the spread of COVID-19; however, the City cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, participating in City volunteer activities and interacting with City staff and members of the public could increase your risk and your child(ren)'s risk of contracting COVID-19. By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by participating in volunteer activities and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 by participating in volunteer activities may result from the actions, omissions, or negligence of myself and others, including, but not limited to, City employees, volunteers, and program participants and their families. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)'s participation in volunteer activities. On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless the City, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of the City, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any City program.

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Release of Liability Waiver and Photo Release
Check the box to acknowledge waiver
I have full authority to enter this registration agreement and release of liability on behalf of myself, or on behalf of a minor child. I certify that I am the parent or legal guardian of any minor child enrolled in any activity by this agreement. I fully understand that our participation in any activity or offered by the City exposes participants to property damage or personal injury, including, but not limited to, injuries to the back, knees, hamstrings, wrists, neck, or other physical injuries, up to and including death. We hereby acknowledge that I and/or my minor child am volunteering in this "activity" and are aware of and agree to assume any such risks arising from such participation. I, on behalf of participants, my heirs, administrators, executors, and assigns, hereby release, discharge and agree not to pursue any claims, demand, actions, or suits and to indemnify and hold harmless, the City of Rancho Cucamonga, its elected officials, officers, agents and employees, for any injury, death or damage to, or loss of personal property arising out of, or in connection with, my participation in the "activity" from whatever cause, including claims involving the active or passive negligence of the City or any other participants in such "activity". By executing this form on behalf of a minor or other participant, I state and declare that I have full authority to enroll the participant in this activity, and to execute this release of liability and understand that it binds me as well as any other person that authorizes me to enroll the minor or participant in such activity. Participants permit the taking of photographs of themselves and/or their minor children by the City of Rancho Cucamonga during the recreation activities and understand that they may be used in City publications and/or websites without the liability or compensation of any sort. I have carefully read this release, hold harmless and agreement not to sue and fully understand its contents. I am away that it is a full release of all liability and sign it on my own free will.

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