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2. Like our Facebook Page!

   1. I already like it!

   https://www.facebook.com/search/top/?q=TCPWQ

4. Are you a new volunteer to Wonders?*

   1. Yes, I am a new volunteer.
   2. No, I am NOT a new volunteer.
5. The person who recruited you?
7. First Name*
8. Last Name*
9. D.O.B.
11. Street Address*
12. City*
13. State*
14. Zip*
16. Email*
17. Good contact number *
18. Preferred method of contact:*

    1. Text Message
    2. Cell Phone call
    3. Email
    4. All of the above
20. What county do you live in?
    -- Select One --BentonBooneCarrollClintonFountainJasperHendricksHowardMarionMontgomeryNewtonPulaskiTippecanoeWarrenWhite
21. What is your place of employment?
23. In the event of an emergency, who should be contacted?
25. First Name*
26. Last Name*
27. Contact Number*
28. Relationship?*
30. Each day(s) checked implies you will be volunteering on that day(s). Check the day(s) you are available to volunteer.*

    1. Wed. Sept. 6
    2. Thurs. Sept. 7
    3. Tues. Sept. 12
    4. Wed. Sept. 13
    5. Thurs. Sept. 14
32. Activity Prefered*
    -- Select One --In a raftOn landNo preference
33. Shirt Size (all adult sizes)*
    -- Select One --x-smallsmallmediumlargex-largexx-largexxx-largeno thank you
34. Dietary Restrictions
    -- Select One --VeganVegetarianGlutenLactose IntolerancePeanut AllerigesOther
36. Liability Waiver

    Liability waiver: I understand and acknowledge that activities in and around a river entail some level of risk. I, the undersigned, being the volunteer involved in the Wonders On The Wabash program, do hereby, for myself release, discharge, hold harmless, and forever acquit Tippecanoe County, Tippecanoe County Partnership for Water Quality (consisting of Tippecanoe County, City of Lafayette, City of West Lafayette, Purdue University, Town of Battle Ground, Town of Dayton, and Ivy Tech Community College), West Lafayette Parks Department, and their officers, agents, representatives, and employees (hereinafter "the released parties") from any and all actions, causes of action, claims or any liability whatsoever, known or unknown now existing or which may arise in the future on account of or in any way related to or arising out of participation in the event, including without limitation, those arising out of claims that the released parties were negligent. I understand that this waiver is being relied upon as a material inducement to allow participation in the event.

38. Signature*

    1. I accept the terms of the liability waiver

    The submission of this form shall serve that in leiu of my signature. I have read, fully understand, and accept all terms of the foregoing volunteer statement.

39. Today's Date*
    Today's Date
41. Thank you!

    Thank you for registering to be a HUGE part of Wonders On the Wabash. The purpose of this program is to educate residents of all ages within Tippecanoe County, on the importance of our ecosystem and instill in them a sense of stewardship for protecting one of our most valuable natural resources: water. By educating the citizens, the hope is they in turn, will contribute to the sustainability and improvement of our world's ecosystems.

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43. 1. Receive an email copy of this form.
44. Email address

    This field is not part of the form submission.

45. Submit

* indicates a required field