Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

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What volunteer opportunities are you interested in? (Check all that apply) *

Volunteering at the Farmers Market

Tree Planting

Pollinator Gardens Upkeep

Earth Day Planning

Walking in the Parade

Fundraising and Grants

Marketing Committee

City Cleanup Collection Days

Litter/Community Cleanup

Board of Director

Invasive Species

Other__________________

When are you interested in volunteering? (Check all that apply)

Weekday Mornings

Weekday Afternoons

Weekday Evenings

Weekends

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country