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2. First Name
3. Last Name
5. Where will you be picking up trash?

   Please let us know where you will be picking up trash! We will have crews going around town to pick up the bags and need to know where they will be :)

7. Will you be attending lunch from 12 PM - 1 PM?

   1. Yes- 1 person
   2. Yes - 2 people
   3. Yes- 3 people
   4. Yes- 4 people
   5. NO
8. Will you be attending the Community Art Project from 1 PM - 2:30 PM?

   Blackstone Parks and Recreation is hosting a Community Art Project from 1 PM- 2:30 PM at Roosevelt Park behind Town Hall. Stop by anytime during this time. We will be painting fence pickets to be part of a community garden for the Senior Center. Please let us know if you plan on joining us so that we have enough supplies. Thank you!

   1. Yes- 1 person
   2. Yes - 2 people
   3. Yes- 3 people
   4. Yes- 4 people
   5. NO
10. Is there anything special you would like us to know? We will do our best to accommodate your needs.
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12. 1. Receive an email copy of this form.
13. Email address

    This field is not part of the form submission.

14. Submit

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