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Pearl River Clean Sweep, September 23, 2017

Parents/Guardians must register for participants of minor age (under age 18 at the time of registration). Parents/Guardians may use this form to register all family members. In the comments section, please list the names of all participating family members.

* Indicates required field

NAME *

First

Last

EMAIL *

Emergency Phone Number *

VOLUNTEER OPENINGS *

SITE LEADER WATER BASED CLEANUP CREW LAND BASED CLEANUP CREW

PLEASE CHOOSE YOUR DESIRED CLEANUP LOCATION
(for additional cleanup location information, click here)

CHOOSE CLEANUP LOCATION *

WAIVER & RELEASE OF LIABILITY (please click to view or to print) *

I have read the waiver I accept the terms of the waiver

Questions or Comments *

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Pearl River Clean Sweep, September 23, 2017

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Pearl Riverkeeper is a licensed member of the Waterkeeper Alliance, the largest and fastest growing nonprofit solely focused on clean water.