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Waiver and Registration 2023
If you have any question, please call 812-290-2941
Contact Information
Name
*
First Name
Last Name
Email
*
Verify Email
*
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Name of Emergency Contact
*
alpha
Emergency Contact Phone Number
*
numeric
Waiver
*
Though we aim to have safe volunteer events, parking in a new place and working in the Oxbow can come with hazards. By checking this box you acknowledge that you will attend this Clean-up at your own risk. Thank you!
I Agree
Attending
*
Let us know why you're visiting the Oxbow today.
Class
Cleanup
Field Trip
Other
Group
*
Associated with a group, organization or school?
Yes
No
Name of group, organization or school
If yes, please provide name of group, organization or school
Photo Permission
*
Permission to use your picture if taken for event promotion and future publications?
Yes
No
