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Tsunami - Online Sign up & Waiver Form
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First Name
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Your answer
Last Name
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Your answer
Email
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Your answer
Phone
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Mailing Address
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(Address, City, State, Zip Code)
Your answer
Which cleanup dates and locations are you registering for?
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Select all that apply
Saturday, April 18, 2015: 9am -11am - Pacifica State Beach (at Linda Mar)
Saturday, April 18, 2015: 9am -11am - Mussel Rock Park Car Park (next to Allied Waste Transfer Station)
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Would you like to be on the Pacifica Beach Coalition's mailing list?
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