First Name * Middle Name
Last Name *
Ex.305
5555555
Day Phone
*
Night Phone
Email *
Organization
Address *
City * State * Zip *
County *
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 #.
Site Choice 1 * Choose One David Kennedy Park East Greynolds Park Jose Marti Park, Miami River Julia Tuttle Cswy Lugo Point Maurice Gibb Park - Boat Site Pelican Harbor Marina - Boat Site
Site Choice 2 * Choose One David Kennedy Park East Greynolds Park Jose Marti Park, Miami River Julia Tuttle Cswy Lugo Point Maurice Gibb Park - Boat Site Pelican Harbor Marina - Boat Site
Where did you hear about this
event?
Choose One
Registration information mailed to home
Activity organized by a club or group
Friend or family member
Poster on train or bus
Baynanza Calendar picked up at
TV Commercial
TV News
Newspaper Ad
Newspaper Article
Radio Commercial
Radio Interview
Internet Browsing
Street Banners
Other
Please specify :
Chaperones
are required to stay with children under 16 at all times (no drop offs).
Recommended ratio of 1 adult per 10 children.
I have read this Disclaimer * 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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