2022 VMAS River Clean-up in Dayton

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2022 VMAS River Clean-up in Dayton

Help keep the rivers in Dayton clean! A river clean-up will be held on Saturday, July 16th from 9:00 am - 11:00 am.
Complete the form below and the City of Dayton will provide grabbers, gloves and bags.

If you have any questions, please contact Paul Fleischman at paul.fleischman@daytonohio.gov
937-333-3713.

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Email *

Name (First and Last) *

Phone Number *

How are you affiliated with Wright State University? *

Alumni

Current student

Not affiliated

Other:

Required

How are you affiliated with the U.S. Armed Forces? *

Currently serving

Veteran

Not affiliated

Other:

Are you a VMAS member? *

Yes

No

T-shirt size

XS

S

M

L

XL

XXL

Youth Medium

Youth Large

Clear selection

Safety guidelines - https://docs.google.com/document/d/1KmJnbQ8NQkbe6PT_Xpb9M4sX088UQKRqp3nwjBlPJ00/edit *

I have read the safety guidelines.

Required

Waiver link - https://docs.google.com/document/d/1LiWgMcVxi3qvTsApXXPlp4KVQ3GuMzLr4i9z6GcD6jw/edit?usp=sharing *

I have read and agree to the terms of the waiver.

Required

For more information or questions, contact: Paul Fleischman

paul.fleischman@daytonohio.gov
937-333-3713

A copy of your responses will be emailed to the address you provided.

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