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2. Date:*
   Date:
4. Name of Group/Organization (as it is to appear on your sign): *
6. Are you a: (please select one)*

   1. Business
   2. Nonprofit

   1. Group

   1. Neighborhood

   1. Other
8. Group/Organization Contact Person:*
10. Phone Number*
11. Email Address*
13. Address*
15. City*
16. State*
17. Zip Code*
19. What park or green spaces are you interested in adopting? Please check all that apply. *

    1. Forest Grove East Entrance
    2. Fernhill Wetlands
    3. Forest Grove North Entrance

    1. Thatcher Park
    2. Forest Glen Park

    1. Forest Gale Heights Entrance
    2. Reuter Farms

    1. Knox Ridge
    2. Other
21. If you selected 'Other' (please specify)
23. Commitment Timeframe (Tentative):
24. From (month/year)*
    From (month/year)
25. To (month/year)*
    To (month/year)
27. Estimated Availability:*

    1. Once a Month

    1. Bimonthly

    1. Quarterly

    1. Other
29. If you selected 'Other' please provide details.
31. How did you hear about the Adopt-a-Park program? *
33. Why do you wish to adopt the requested park (e.g., its location; its particular features)?*
Leave This Blank:


35. 1. Receive an email copy of this form.
36. Email address

    This field is not part of the form submission.

37. Submit Submit and Print

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