2. 
4. 

6. ***Clean Up Date will be Saturday April 22nd, from 9 a.m. to noon. Further information will be sent to interested parties' email provided in sign up. ***

7. 
9. Contact First and Last Name*
10. Organization Name
12. Email*
13. Contact Phone
15. Number of Volunteers *
    (If individual put 1)

19. Should you have any further questions regarding the clean up call the Stormwater Division at (540) 942-6626 or email stormwater@ci.waynesboro.va.us.

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21. 1. Receive an email copy of this form.
22. Email address

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