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Snow Angels Registration Form
Please fill out this form to express your interest in HCA's Snow Angels Program. One of our program coordinators will contact you shortly to further discuss the program and finalize your registration.
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* Indicates required question
Email
*
Your email
Full Name
*
Your answer
Please choose one:
*
I need help clearing my sidewalk
I can help someone clear their sidewalk
I would like to request my own shovel and de-icer
Do you live in the Heritage Community?
*
Yes
No
Unsure
What is the best time of day for us to contact you?
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Morning
Afternoon
Evening
Address
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Your answer
Phone Number
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Your answer
Age Range
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under 18
18-30
31-64
65+
Reason for needing help clearing sidewalk (ex. age, disability)
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Your answer
Please sign me up for HCA's monthly e-newsletter to stay informed on HCA programs and events
*
Yes
No
I would like to become an HCA Member
*
Yes
No
Already am!
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