25th Annual Clean the Bay Day

June 1, 2013

2013 Volunteer Registration for the James River State Park System (18 and over only)
Questions that require an answer are marked with  *
   
* Information:
   
 First Name:
 Last Name:
 Email:
 Street:
 City:
 State:
 ZIP:
 Day Time Phone Number:
   
Cell Phone:
   
   
Number of Adults (18 & over):
   
   
Group Affiliation, i.e. Scout Troup, Civic League, Business, Military
   
   
* I would like to help as follows:
   
   
* Are you bringing a boat to the cleanup? (Boaters bring their own volunteers; volunteers at-large will not be assigned to boats.)
You do not need a boat to participate.
   
   
If yes, how many boats?
   
   
If yes, what kind of boat(s)?
   




   
* How did you hear about Clean the Bay Day?
   
     

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Questions that require an answer are marked with  *
   
* Please take a moment to provide the following information so that we may keep you updated on issues and events near you.
   
 E-Mail Address
 First Name
 Last Name
 City
 Zip Code
     

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