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Individual Survey for using AAW Equipment with Picture/Video Authorization Form
Please select the host. If you an event coordinator please use AAW's Event Survey Form: As the Event Coordinator, please fill out the Event Survey on
https://locations.accessabilitywi.org/reservations/surveys
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Email
*
Your email
Customer's first name
*
Your answer
Customer's Last name
*
Your answer
Name of person entering data if not the customer
Your answer
DNR Customer # - We require this due to DNR grant reporting. There is no fee to acquire a DNR Customer #.
*
If you have questions about the WI DNR Customer #, please refer DNR-
http://dnr.wi.gov/education/outdoorskills/idcheck.html
Your answer
If you have questions about the WI DNR Customer #, please refer DNR-
http://dnr.wi.gov/education/outdoorskills/idcheck.html
We require DNR Customer # due to DNR grant reporting.
Your phone #
*
Your answer
Which phone is this?
cell
home
work
Other:
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Was use of the OWC(s) at an event?
*
Yes
No
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