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SRSLY Dexter River Clean Up Registration
Please complete this form to sign up for the SRSLY Dexter River Clean Up!
Please provide an email you check regularly, as important information and documents will be sent there regarding the trip!
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* Indicates required question
Participants Full Name
*
Your answer
Participants Age
*
12-17
18+
Parent/Guardian Name(S) if Under 18
Your answer
Email Address (Parent/Guardian email if under 18, and no Dexter School email address as we can't guarantee delivery of pre-trip information)
*
Your answer
Phone Number (Parent/Guardian if under 18)
*
Your answer
Emergency Contact Name(s)
*
Your answer
Emergency Contact Phone Number(s)
*
Your answer
Does the participant have experience with a canoe?
*
Yes
No
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