| First Name * |
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Middle Name
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| Last Name * |
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Ex.305
5555555
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| Day Phone
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| Night Phone
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| Email * |
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| Organization
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| Address * |
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| City * |
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State *
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Zip *
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| County * |
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| To allow for better
coordination and T-shirt distribution, troops are now requested to register
separately (not as service units). Each troop should list their own
leader (or the person who will be in charge of the troop on Bay Cleanup Day) in
the registration form, along with their own Troop #.
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| Site Choice 1 * |
(only sites still available appear here)
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| Site Choice 2 * |
(only sites still available appear here)
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| Where did you hear about this
event? |
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Please specify :
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| Chaperones
are required to stay with children under 16 at all times (no drop offs).
Recommended ratio of 1 adult per 10 children.
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| I have read this Disclaimer *
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Miami-Dade County is a public entity subject to Chapter 119 of the Florida Statutes concerning public records. Your registration information is covered under this law and thus subject to disclosure. All information received is captured and kept as a public record. By checking this box you are acknowledging that the information you are submitting may be shared as part of a public records inquiry.
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| *
denotes that these fields are required.
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