Come Clean Lake Livingston Registration

Come Clean Lake Livingston Registration

Please fill out this form completely. Student teams (under the age of 18) MUST be accompanied by an adult. If you have any questions, please feel free to contact Kim or Brenda at 936.327-4929 or info@polkchamber.com.
Team Name
Name*

First NameLast Name
Email*
example@example.com
Phone Number
Please enter a valid phone number.
# of Participants
Shirt sizes for each Participant
Please make sure all participants have a Release and Indemnity Form completed. The adult in charge of Kids under the age of 18 needs to sign the forms with the kid's name.

***T-Shirts may not be the correct size.
Should be Empty: