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DOWNLOAD THIS DOCUMENT, COMPLETE AND EMAIL TO: Media@CrohnsColitisFoundation.org
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Name of Establishment/BusinessBrief notes with details on how to find the restroom
(or other helpful comments)
Hours of operationStreet AddressCityState Zip codeWheelchair Accessible
1 = Yes
0 = No/Don't know
Individual **
(orange flag)
Partner *
(blue flag)
Optional Latitude:
For public parks or no address available, please provide latitude (drop pin on map to find)
Optional Longitude:
For public parks or no address available, please provide longitude (drop pin on map to find)
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Sample Business Name 1Please ask the host for the bathroom and let them know you were referred by the Can't Wait app from the Crohn's & Colitis Foundation.10AM-11:30PM(2:30 AM Friday/Saturday)757 BroadwayNew YorkNY100191YesNo-90 to 90-180 to 180.
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Sample Business Name 2Use the side door. Please limit your time and do not flush wipes and feminine hygiene products down the toilet.24 Hours908 2nd AvenueNew YorkNY100190NoYes
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RequiredIf availableIf availableRequiredIf knownOptionalOptional
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Best Practices:**Individuals will need to read agreement below and indicate that it was read and accepted with a "yes" or "no"*Partners will need to read agreement below and indicate that it was read and accepted with a "yes" or "no"
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Address should be full and include the building number, street and city
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If the business name is a franchise or generically named include the store's number or some other location identifier. ie: Burger King (5th Ave, Midtown), Starbucks (Downtown Brooklyn, Decatur Ave.)
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Details should be descriptive but very conciseIn submitting this restroom location to the We Can't Wait App, I am confirming that I am confident that this location is intended to be readily available to the general public.In submitting this restroom location to the We Can’t Wait app, I confirm that I have the authority to do so, and I understand that submission of this restroom gives permission to the Crohn's & Colitis Foundation to include my name and location on the map as a “partner." That means that my business will stand out from others on the map because it will be displayed with a blue map pin (vs. orange for anonymously submitted restrooms).

I also agree that I will welcome users of this app (or bearers of the Foundation's physical I Can't Wait Card) to use restrooms at this location during my normal business hours. I agree to inform all employees who work at this location of our welcoming policy.
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100 characters max255 characters max100 characters max255 characters0 or 1
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***ENTER DATA STARTING BELOW THIS LINE:*** ***ENTER DATA STARTING BELOW THIS LINE:*** *** *** *** *** *** ****** *** *** ***
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