DWR - Homeowner Form

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Homeowners' contact information & questionnaire

First Name *

Middle Name

Last Name *

Property Address *

VERIFICATION

By submitting this form you give Dads With Rakes ("DWR") permission to enter your property and clear it of fallen leaves and other debris, such as branches and twigs. It's your duty to inform DWR of any known dangerous conditions on your land. You agree to supply an adequate number of leaf bags. If there are no bags upon our arrival, then DWR will rake leaves into a pile and the children will jump into said pile until they're tired and/or bored.

Are You The Legal Owner of this Property (whether solely or jointly) *

Yes

House Color

Property Acreage

Single Parent + Homeowner *

Yes

Retired + Homeowner *

Yes

Email Address

Home Phone Number

Cell Phone Number

Preferred Method of Communication *

Home Phone

Cell Phone

Will You Supply Leaf Bags

Yes

Clear selection

Are there any dangerous conditions on your property that we should know about? *

Yes

Do you have a dog? *

Yes

Favorite Superhero

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