The Denney House MLK Day of Service Community Clean Up Registration Form
Event Timing: January 17, 2022 - 10am - 2pm
Event Address: Henson Creek Park, Temple Hills, MD

*Please note temperatures will be taken and COVID-19 social distancing procedures will be followed.

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First Name *
Last Name *
What is Your Age? *
Required
Email *
Phone Number *
Zip Code *
Organization *
School, Church, Community Group, etc.
How did you find out about this event? *
Required
Can we add you to our mailing list? *
Photo Release Waver *
I agree to allow The Denney House and its authorized representatives permission to photograph or film and/or video my participation. I further agree that any or all of the material photographed may be used, in any form, as part of any future publications, brochure, or other printed materials used to promote The Denney House, and further that such use shall be without payment of fees, royalties, special credit or other compensation. Additionally, photos and quotes may be used for publicity purposes.
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