2022 UGRA River Clean Up Registration
Each person participating must complete this form even if you are part of a group. Online registration will close on Friday, July 8th.
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First Name *
Last Name *
Email Address *
Re enter Email Address *
Home Address
Phone Number
Are you with a group?  If so, what is the name?
Preferred clean up location. Identify a site of your own or use this link to view suggested sites: https://www.google.com/maps/d/edit?mid=1Y8e4GaH-wgjbHRKkX7cR0hFY-V9NWcgB&usp=sharing
You will need to transport your trash to Flat Rock Park. Do you need assistance? *
Required
T-shirt size (will guarantee preferred t-shirt size if registered before 6/30/22). *
Special instructions or comments
Please read the Release and Waiver Liability statement below
Complete ONE of the following two options
I am the participant listed at the top of this form and am at least 18 years of age. By typing my name below, I agree to the terms of the "Release and Waiver of Liability" above for myself.
Write YOUR NAME below if the participant is an adult.
The participant listed at the top of this form is under 18 years of age.  I am the parent or legal guardian of the above participant and by typing MY name below, I agree to the terms of the "Release and Waiver of Liability" above for myself and the participant.
Write YOUR NAME below if the participant is a child.
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