Mission Clean Stream Registration Form for Riverlands

Registration starts March-2019.

We value our volunteers very highly.  We can not accomplish the many projects we undertake without your help.  Please complete the registration below.  

Please make sure you are registering for the event you are interested in.  

Always dress appropriately for the weather and please bring gloves that you do not mind getting dirty for clean up events such as Mission Clean Stream.

Please click on this WAIVER RELEASE FORM to open it in your browser.  Then please print and complete it.  Each participant must have a completed waiver.  Bring it with you to the event.  This will save a lot of time.  Thanks for your participation!

* Event:  M:CS @Riverlands
 M:CS @Cora Island
 M:CS @Portage des Sioux
* First Name
* Last Name
* Address 1
Address 2
* City
* State
* Zip
* Email
* Phone ( ) -
* Emergency Contact Phone ( ) -
* Emergency Contact Name
* Did you download and print the waiver form?  Yes
  No
Family Member 1 Name
Family Member 1 Age  18 Years or Older
  Less Than 18
Family Member 2 Name
Family Member 2 Age  18 Years or Older
  Less Than 18
Family Member 3 Name
Family Member 3 Age  18 Years or Older
  Less Than 18
Family Member 4 Name
Family Member 4 Age  18 Years or Older
  Less Than 18
Family Member 5 Name
Family Member 5 Age  18 Years or Older
  Less Than 18
I am a Member of a Group  Yes
  No
Name of My Group
* Captcha: Please type the letters as they appear in the box below.
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