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Westport River Watershed Alliance (WRWA)

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River Rats Registration PDF Print E-mail
River Rats Registration Form
Note: Programs subject to minimum enrollment requirements.

Sign up online or print and submit this form with your check payable to:
Westport River Watershed Alliance (WRWA)
P.O. Box 3427, Westport, MA 02790

River Rats Program : $8 per child WRWA members ($10*) *Non-member fee

Please circle program day desired:
6/29    6/30      7/1
8/10       8/11    8/12 8/17      8/18      8/19

 

Child #1 Name & Age:

Child #2 Name & Age:

 

Parent/Guardian Name:

 

Mailing Address:
Phone:

Charge your registration on Mastercard, Visa, AMEX, or Discover (please circle)

Amount $ Exp. Date:
Card Number:

last 3 digits (code on back) (4 digits on front of AMEX)

Billing address if different than above:

The Westport River Watershed Alliance is a membership-supported, 501(c)(3) nonprofit organization.