One moment please...

Celebrate Water!

Join Clean River Partners to celebrate water through music, poetry, and performance on April 20 at Farmstead Bike Shop in downtown Northfield!

Registration Information

Name

First Name

Last Name

Verify Email

Phone

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Accessibility Information

Accessible entrance
Accessible restrooms
Accessible parking

Any additional accessibility accommodations? We would love to help.

Demographic Information

Sharing the following information is entirely optional. You can share as much or as little as you want. If you choose to share this information with us, it will help us track the communities we are reaching.

Age

Below age 18

18 - 24 years

25 - 39 years

40 - 64 years

Age 65 or older

Gender

Trans and/or non-binary

Female

Male

Another gender not listed

Ethnicity/Race

Black/African American

Indigenous/Native American/Alaskan Native

Asian

Native Hawaiian/Pacific Islander

Hispanic/Latine

White

Multiple races or ethnicities

Another race or ethnicity not listed

Disability Status

Yes, I have a disability

No, I do not have a disability

LGBTQIA2+ Status

Yes, I identify as LGBTQIA2+ and/or queer

No, I do not identify as LGBTQIA2+ or queer

Veteran Status

Yes, I am a veteran

No, I am not a veteran

Household Income

Below $30,000

$30,000 - $60,000

$60,000 - $100,000

Above $100,000

Is this your first time attending a Clean River Partners event?

Yes

Media Release

I give my permission to Clean River Partners to use any photographs or video recordings taken of me at this event for promotional and educational purposes in any analog or digital format without payment and without obligation or liability to me.
I also give my permission to Clean River Partners to use any quotes given by me at this event for promotional and educational purposes in any analog or digital format without payment and without obligation or liability to me.

Media Release Options

Yes, I give my permission

No, I do not give my permission

Optional Donation

Would you like to donate to Clean River Partners today?

$120

$60

$30

Add 3% to my total amount to help cover the payment processing fees