Stream Team Registration Form
Email address *
Name *
Your answer
Mailing Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Primary Phone Contact
Your answer
Team Name *
Your answer
How would you like to receive your Stream Team Workbook? *
Required
What is your preferred method of contact? *
Name of adopted stream/river/lake, if known *
Your answer
In what county or counties is your adopted segment of stream located? *
Your answer
If known, what are the exact upstream and downstream locations, if possible please use Latitude and Longitude
Your answer
Please tell us something about yourself or the group *
Your answer
Check all that apply that best describe you/group: *
Required
If a school group, select your level:
What activities would you be interested in? *
Required
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