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Calendar | General Liability Release | Driving Directions

Wisconsin River Cleanup

 
 

PLEASE PRINT THE GENERAL LIABILITY RELEASE FORM ABOVE
READ, SIGN AND BRING TO THE EVENT TO VOLUNTEER

(If you do not have access to a printer, we will have forms available at the cleanup site.)

On-line Registration form for Wisconsin River Cleanup
Please fill out and submit the form below. We will contact you via the email address you list, unless otherwise noted.

*Denotes a required field.

*Name:
*Email:
Alternate Email:
*Address:
*City:
*State:
*Zip:
*Primary Phone:
Secondary Phone:
Work Phone:
*Cleanup Dates:
To select multiple dates hold the ALT key down while making your selection.
Group Leader:
Organization/ Affiliation:
Special needs/Comments:
 
   

 

FOR MORE INFORMATION:

Tammy Becker
tammy@livinglandsandwaters.org
(309) 236-0725-CELL

 

 
 

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