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2. First Name*
3. Last Name*
5. Phone Number*
6. Email Address*
8. Do you want to adopt a street or a waterway?*
   -- Select One --StreetWaterway
9. Desired location you want to adopt*
11. Sponsor Name*
12. Type of organization (church, scouts, sports team, etc)*
14. Do you agree to maintain this street/waterway at least four times per year?*

    1. Yes
    2. No
15. How long do you intend to maintain this street/waterway?*
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17. 1. Receive an email copy of this form.
18. Email address

    This field is not part of the form submission.

19. Submit Submit and Print

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