Wufoo

Nashville Clean Water Project Registration

Register here to participate in the second Nashville Clean Water Project on Saturday, September 13, 2008.

We require each person to fill out a separate form. An asterisk (*) indicates required information.

The cleanup will take place Saturday, September 13 from 8 A.M. until noon. Please sign up for your three hour block of time based on your desired departure from Four Corners Marina: *
8:00 A.M. 8:30 A.M. 9:00 A.M.

We will make every effort possible to accommodate desired departure times but based on the number of volunteers we may have to assign you to a different departure time. Your flexibility is greatly appreciated!
Name * First Last
Email *
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Name of employer or group affiliation
Emergency Contact Name *

Please tell us the name of a person to contact in case of an accident or emergency.
Emergency Contact Phone Number * - (###) - ### ####
Known medical conditions (please specify or enter "none") *
Nashville Clean Water Project requires volunteers for the September 13 event to be at least 16 years of age: *
I certify that I am 16 years of age or older

We don't want to turn anyone away from volunteering to clean up Percy Priest Lake, but because of liability reasons we can't have anyone younger than 16 working on this cleanup project. We are working on ways to welcome folks of all ages to our next cleanup project!
Liability & Photo Release Statements (click here to download a copy of the waiver) *
I agree to the terms and conditions of this waiver
Shirt size *
Will you have a motorized boat?
Will you have others in your boat?
If 'Yes', how many? (if 'No', enter 0)
Will you have a personal water craft (Jet Ski, SkiDoo, etc.)?
Will you have a canoe or kayak?
Would you like to learn more from your local watershed group?
Would you like information from adventure groups such as Nashville Hiking Meetup and/or Team Green?
How did you hear about this Percy Priest Lake cleanup and the Nashville Clean Water Project?
Do Not Fill This Out