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1. You are signing up to be on the City of Newton snow shovel list for winter 2013-2014. If you are under the age of 18 you should check with parent(s) before signing up to be on this list. When you receive a phone call for a possible job, you will be responsible for negotiating a price and establishing parameters for the job. This is a private negotiation with no City involvement.

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(Required.)

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2. First Name (Required.)

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3. Last Name (Required.)

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4. Street Address

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5. Name of your Village (Required.)

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6. Name of your elementary school district (Required.)

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7. Zip Code

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8. Phone Number (Required.)

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9. E-mail address (e-mail addresses will not be shared or distributed) (Required.)

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