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2. Like our Facebook Page!

   1. I already like it!

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

3. Are you a new volunteer to Wonders?*

   1. Yes, I am a new volunteer.
   2. No, I am NOT a new volunteer.
4. The person who recruited you?
6. First Name*
7. Last Name*
8. Contact number *
10. State*
11. Street Address*
12. City*
13. Zip*
15. D.O.B.
16. What county do you live in?*
    -- Select One --BentonBooneCarrollClintonFountainJasperHendricksHowardMarionMontgomeryNewtonPulaskiTippecanoeWarrenWhite
17. Email*
18. What is your place of employment?
20. Shirt Size (all adult sizes)*
    -- Select One --x-smallsmallmediumlargex-largexx-largexxx-largeno thank you
21. Dietary Restrictions*
    -- Select One --VeganVegetarianGlutenLactose IntolerancePeanut AllerigesNone
22. If you would like to be paired with a specifc raft instructor please put the name below. We will do our best to accommidate your request.
24. In the event of an emergency, who should be contacted?
26. First Name*
27. Last Name*
28. Contact Number*
29. Relationship?*
31. Please tell us how would you like to volunteer and how often.
33. Check the day(s) you are available to volunteer. Each day(s) checked implies you will be volunteering on that day(s).
35. Raft Instructor - All Day

    1. Wed. Sept. 6
    2. Thurs. Sept. 7
    3. Tues. Sept. 12
    4. Wed. Sept. 13
    5. Thurs. Sept. 14
36. Shamrock Park - AM Set-up

    1. Wed. Sept. 6
    2. Thurs. Sept. 7
    3. Tues. Sept. 12
    4. Wed. Sept. 13
    5. Thurs. Sept. 14
37. Fort Ouiatenon - PM where needed

    1. Wed. Sept. 6
    2. Thurs. Sept. 7
    3. Tues. Sept. 12
    4. Wed. Sept. 13
    5. Thurs. Sept. 14
38. On-land All-day where needed

    1. Wed. Sept. 6
    2. Thurs. Sept. 7
    3. Tues. Sept. 12
    4. Wed. Sept. 13
    5. Thurs. Sept. 14
40. 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.

42. 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.

43. Today's Date*
    Today's Date
45. 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.

47. For Office Use ONLY
49. Schedule

    1. check
50. Phone

    1. check
51. Email

    1. check
52. Label

    1. check
Leave This Blank:


54. 1. Receive an email copy of this form.
55. Email address

    This field is not part of the form submission.

56. Submit Submit and Print

* indicates a required field