Are you at least 18 years of age? (minimum age is 16 with guardian present at the event)
No, I am within the 16 -18 year old age group and am interested in counting with guardian.
What is your email address?
Cell Phone Number - Please use this format xxx-xxx-xxxx
May we send you text message(s) with updates regarding the Count, if needed?
Are you willing to drive on the night of the Count? (requires valid driver's license and vehicle with current registration and insurance)
How did you hear about the Count?
Bringing it Home e-Newsleeter
City of Santa Monica Count Email
City of Santa Monica Website
Seascape Community Newsletter
Social Services Provider
Word of Mouth
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