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2. Volunteer Sign In
4. Event Signing in for*
   -- Select One --Adopt-A-SpotCommunity CleanupJam'n JamzBeautification/Cleanup

   Select one
5. Date of Participation*
   Date of Participation
7. I am age 18 or older*

   Select one.

   1. Yes
   2. No
8. Names of youth (under age 18) accompanying me
10. Safety Acknowledgement*

    I have read, or was read, the KNB Safety Guidelines and agree to abide by these and accept responsibility for any youth accompanying me. By signing below I acknowledge the above statement, my participation in the event and that, as of signing, I am in good health and pose no health risk to others.

    1. Yes
    2. No
12. First Name*
13. Last Name*
14. Email*
16. Sign up for KNB Newsletter

    Would you like to receive the Keep Norfolk Beautiful monthly newsletter

    1. Yes
    2. No
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18. 1. Receive an email copy of this form.
19. Email address

    This field is not part of the form submission.

20. Submit

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