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Registration Form for Inland Empire Waterkeeper's River Cleanup on
November 18, 2023
For more information, visit
iewaterkeeper.org/cleanups
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Email
*
Your email
Please verify that you are registering for the correct event below.
Cleanup Date & Time
*
Saturday, November 18: 9:00 a.m. to 11:30 a.m.
Required
Cleanup Location
*
Martha McLean-Anza Narrows Park: 5759 Jurupa Ave, Riverside, CA 92504
Required
Volunteer's First Name
*
Your answer
Volunteer's Last Name
*
Your answer
Street Address
*
Your answer
City
*
Your answer
Zip Code
*
Your answer
Emergency Contact Information (Name, Phone Number)
*
Your answer
Are you with a group? If so, name your group below
Your answer
Would you like to be added to our email list?
*
Yes
No
I support Inland Empire Waterkeeper's mission and wish to become an official member .
*
Yes
No
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