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River Rats Registration Form
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Note: Programs subject to minimum enrollment requirements.
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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: |
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6/29 6/30 7/1
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8/10 8/11 8/12 |
8/17 8/18 8/19 |
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Child #1 Name & Age:
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Child #2 Name & Age:
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Parent/Guardian Name:
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| Mailing Address: |
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| Phone: |
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Charge your registration on Mastercard, Visa, AMEX, or Discover (please circle)
| Amount $ |
Exp. Date: |
| Card Number: |
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last 3 digits (code on back) (4 digits on front of AMEX)
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Billing address if different than above:
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The Westport River Watershed Alliance is a membership-supported, 501(c)(3) nonprofit organization.
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