RiverRat Registration Form

Register for a RiverRat Training Session
If you prefer to mail your application please print this application and mail it to:

James River Association
16 South 17th Street, Suite 100
Richmond, VA 23219
Contact Name:*

First NameLast Name
E-mail:*
Cell Phone:

Area CodePhone Number
Mailing Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Which training session are you interested in attending?*

Lynchburg - Select this option to indicate interest in our next training in Lynchburg.Richmond - Select this option to indicate interest in our next training in Richmond.Williamsburg - Select this option to indicate interest in our next training in Williamsburg.
Which sections of the James River or its tributaries are you interested in monitoring?
Broad answers are fine (eg., general Richmond area).
Are you interested in any other volunteering opportunities?
Eg., tree plantings, education, advocacy, or another category.
Would you like to receive the James Riverwatch, JRA's e-newsletter.

YesNo
How did you hear about the James RiverRat program?
It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability.
James River Association
16 South 17th Street, Suite 100, Richmond, VA 23219
(804) 788-8811 ○ www.thejamesriver.org ○ info@thejamesriver.org
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Register for a RiverRat Training Session