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Virtual Cleanup Registration Form
Due to an overwhelming # of early registrations, shirt orders will be filled post event!
Name
*
First Name
Last Name
Team Name(if applicable):
Email
*
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Please list yourself and any additional volunteers you would like to register below. T-shirts will be reserved for those who have submitted their registration by July 17th.
*
Virtual (self-reporting) Only: Please choose your t-shirt pickup location. You will be contacted with pickup information. Pick-up will begin July 19th.
Boat Name (if applicable):
Watercraft Length and Type:
Name a specific region or tributary you or your group plan(s) to target (if applicable):
Save
Submit
Should be Empty: