*1.Name (first & last)(Required.)

*2.Do you plan to attend the cleanup event at Vadnais-Sucker Lake Park on Saturday, May 10th?(Required.)

Yes

No

*3.Will there be any others in your party? If so, please list all first and last names. If not, simply type "N/A" below.(Required.)

*4.Please note: all cleanup participants will need to have an updated liability form submitted prior to their participation in the activity. Hard copies of this form will be available at the cleanup event.(Required.)

I will ensure I fill out a paper copy of the form on Saturday, November 8th before beginning my participation in the activity.

Thank you! We look forward to seeing you on November 8th.

Please contact Angela Hugunin, VLAWMO Communication & Outreach Coordinator, with any questions: angela.hugunin@vlawmo.org | 651-204-6070