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2025 CU form test-Self Hosted

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Contact Information
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Address
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'Afghanistan' + 
'Aland Islands' + 
'Albania' + 
'Algeria' + 
'American Samoa' + 
'Andorra' + 
'Angola' + 
'Anguilla' + 
'Antarctica' + 
'Antigua and Barbuda' + 
'Argentina' + 
'Armenia' + 
'Aruba' + 
'Australia' + 
'Austria' + 
'Azerbaijan' + 
'Bahamas' + 
'Bahrain' + 
'Bangladesh' + 
'Barbados' + 
'Belarus' + 
'Belgium' + 
'Belize' + 
'Benin' + 
'Bermuda' + 
'Bhutan' + 
'Bolivia' + 
'Bosnia and Herzegovina' + 
'Botswana' + 
'Bouvet Island' + 
'Brazil' + 
'British Indian Ocean Territory' + 
'Brunei Darussalam' + 
'Bulgaria' + 
'Burkina Faso' + 
'Burundi' + 
'Cambodia' + 
'Cameroon' + 
'Canada' + 
'Cape Verde' + 
'Cayman Islands' + 
'Central African Republic' + 
'Chad' + 
'Chile' + 
'China' + 
'Christmas Island' + 
'Cocos (Keeling) Islands' + 
'Colombia' + 
'Comoros' + 
'Congo' + 
'Democratic Republic of the Congo' + 
'Cook Islands' + 
'Costa Rica' + 
'Cote d\'Ivoire' + 
'Croatia' + 
'Cuba' + 
'Curacao' + 
'Cyprus' + 
'Czech Republic' + 
'Denmark' + 
'Djibouti' + 
'Dominica' + 
'Dominican Republic' + 
'Ecuador' + 
'Egypt' + 
'El Salvador' + 
'Equatorial Guinea' + 
'Eritrea' + 
'Estonia' + 
'Eswatini' + 
'Ethiopia' + 
'Falkland Islands (Malvinas)' + 
'Faroe Islands' + 
'Fiji' + 
'Finland' + 
'France' + 
'French Guiana' + 
'French Polynesia' + 
'French Southern Territories' + 
'Gabon' + 
'Gambia' + 
'Georgia' + 
'Germany' + 
'Ghana' + 
'Gibraltar' + 
'Greece' + 
'Greenland' + 
'Grenada' + 
'Guadeloupe' + 
'Guam' + 
'Guatemala' + 
'Guernsey' + 
'Guinea' + 
'Guinea-Bissau' + 
'Guyana' + 
'Haiti' + 
'Heard Island' + 
'Honduras' + 
'Hong Kong' + 
'Hungary' + 
'Iceland' + 
'India' + 
'Indonesia' + 
'Islamic Republic of Iran' + 
'Iraq' + 
'Ireland' + 
'Isle of Man' + 
'Israel' + 
'Italy' + 
'Jamaica' + 
'Japan' + 
'Jersey' + 
'Jordan' + 
'Kazakhstan' + 
'Kenya' + 
'Kiribati' + 
'Democratic People\'s Republic of Korea' + 
'Republic of Korea' + 
'Kuwait' + 
'Kyrgyzstan' + 
'Lao People\'s Democratic Republic' + 
'Latvia' + 
'Lebanon' + 
'Lesotho' + 
'Liberia' + 
'Libya' + 
'Liechtenstein' + 
'Lithuania' + 
'Luxembourg' + 
'Macao' + 
'Macedonia' + 
'Madagascar' + 
'Malawi' + 
'Malaysia' + 
'Maldives' + 
'Mali' + 
'Malta' + 
'Marshall Islands' + 
'Martinique' + 
'Mauritania' + 
'Mauritius' + 
'Mayotte' + 
'Mexico' + 
'Federated States of Micronesia' + 
'Republic of Moldova' + 
'Monaco' + 
'Mongolia' + 
'Montenegro' + 
'Montserrat' + 
'Morocco' + 
'Mozambique' + 
'Myanmar' + 
'Namibia' + 
'Nauru' + 
'Nepal' + 
'Netherlands' + 
'New Caledonia' + 
'New Zealand' + 
'Nicaragua' + 
'Niger' + 
'Nigeria' + 
'Niue' + 
'Norfolk Island' + 
'Northern Mariana Islands' + 
'Norway' + 
'Oman' + 
'Pakistan' + 
'Palau' + 
'State of Palestine' + 
'Panama' + 
'Papua New Guinea' + 
'Paraguay' + 
'Peru' + 
'Philippines' + 
'Pitcairn' + 
'Poland' + 
'Portugal' + 
'Puerto Rico' + 
'Qatar' + 
'Reunion' + 
'Romania' + 
'Russian Federation' + 
'Rwanda' + 
'Saint Barthelemy' + 
'Ascension and Tristan da Cunha Saint Helena' + 
'Saint Kitts and Nevis' + 
'Saint Lucia' + 
'Saint Martin (French part)' + 
'Saint Pierre and Miquelon' + 
'Saint Vincent and the Grenadines' + 
'Samoa' + 
'San Marino' + 
'Sao Tome and Principe' + 
'Saudi Arabia' + 
'Senegal' + 
'Serbia' + 
'Seychelles' + 
'Sierra Leone' + 
'Singapore' + 
'Sint Maarten (Dutch part)' + 
'Slovakia' + 
'Slovenia' + 
'Solomon Islands' + 
'Somalia' + 
'South Africa' + 
'South Georgia' + 
'South Sudan' + 
'Spain' + 
'Sri Lanka' + 
'Sudan' + 
'Suriname' + 
'Svalbard and Jan Mayen' + 
'Sweden' + 
'Switzerland' + 
'Syrian Arab Republic' + 
'Taiwan' + 
'Tajikistan' + 
'United Republic of Tanzania' + 
'Thailand' + 
'Timor-Leste' + 
'Togo' + 
'Tokelau' + 
'Tonga' + 
'Trinidad and Tobago' + 
'Tunisia' + 
'Turkey' + 
'Turkmenistan' + 
'Turks and Caicos Islands' + 
'Tuvalu' + 
'Uganda' + 
'Ukraine' + 
'United Arab Emirates' + 
'United Kingdom' + 
'United States' + 
'United States Minor Outlying Islands' + 
'Uruguay' + 
'Uzbekistan' + 
'Vanuatu' + 
'Vatican City' + 
'Venezuela' + 
'Viet Nam' + 
'British Virgin Islands' + 
'U.S. Virgin Islands' + 
'Wallis and Futuna' + 
'Western Sahara' + 
'Yemen' + 
'Zambia' + 
'Zimbabwe' + 
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'Alabama' + 
'Alaska' + 
'American Samoa' + 
'Arizona' + 
'Arkansas' + 
'Armed Forces Africa, Canada, Europe, Middle East' + 
'Armed Forces Americas (except Canada)' + 
'Armed Forces Pacific' + 
'California' + 
'Colorado' + 
'Connecticut' + 
'Delaware' + 
'District of Columbia' + 
'Florida' + 
'Georgia' + 
'Guam' + 
'Hawaii' + 
'Idaho' + 
'Illinois' + 
'Indiana' + 
'Iowa' + 
'Kansas' + 
'Kentucky' + 
'Louisiana' + 
'Maine' + 
'Maryland' + 
'Massachusetts' + 
'Michigan' + 
'Minnesota' + 
'Mississippi' + 
'Missouri' + 
'Montana' + 
'Nebraska' + 
'Nevada' + 
'New Hampshire' + 
'New Jersey' + 
'New Mexico' + 
'New York' + 
'North Carolina' + 
'North Dakota' + 
'Ohio' + 
'Oklahoma' + 
'Oregon' + 
'Pennsylvania' + 
'Puerto Rico' + 
'Rhode Island' + 
'South Carolina' + 
'South Dakota' + 
'Tennessee' + 
'Texas' + 
'US Virgin Islands' + 
'Utah' + 
'Vermont' + 
'Virginia' + 
'Washington' + 
'West Virginia' + 
'Wisconsin' + 
'Wyoming' + 
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Additional Information
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'01. Acker Park Drainages - East' + 
'02. Acker Park Drainages - West' + 
'03. Aspen Creek (Upper)' + 
'04. Aspen Creek (Lower)' + 
'05. Banning Creek (FS Boundary to Granite Creek)' + 
'06. Butte Creek (Upper)' + 
'07. Butte Creek (Middle)' + 
'08. Butte Creek (Lower)' + 
'09. Goldwater Lake (Shoreline)' + 
'10. Government Canyon (Upper)' + 
'11. Government Canyon (Middle)' + 
'12. Government Canyon (Lower)' + 
'13. Granite Creek (Hwy 89 to Ponderosa Park Rd)' + 
'14. Granite Creek (Ponderosa Park Rd to White Spar Campground)' + 
'15. Granite Creek (White Spar Campground to Haisley)' + 
'16. Granite Creek (Haisley to White Spar @ Fire Station)' + 
'17. Granite Creek (White Spar to Carleton)' + 
'18. Granite Creek (Downtown - Carleton to N Granite)' + 
'19. Granite Creek Park (N Granite to Montezuma bridge)' + 
'20. Granite Creek Park (Montezuma bridge to 6th)' + 
'21. Granite Creek (6th to Tribal Boundary)' + 
'24. Granite Creek (Industrial Way)' + 
'25. Granite Creek (in the Granite Dells - Below Watson Lake)' + 
'26. North Fork of Granite Creek (Upper)' + 
'27. North Fork of Granite Creek (Lower)' + 
'28. Manzanita Creek (Upper)' + 
'29. Manzanita Creek (Lower)' + 
'30. Miller Creek (Upper)' + 
'31. Miller Creek (Middle)' + 
'32. Miller Creek (Lower)' + 
'33. North Fork of Miller Creek (above Gail Gardner Way)' + 
'34. North Fork of Miller Creek (Gail Gardner Way - Peace Ln)' + 
'35. North Fork of Miller Creek (Peace Ln - Miller Crk)' + 
'36. Peavine Trail (South)' + 
'37. Peavine Trail (North)' + 
'38. Watson Woods Riparian Preserve (South)' + 
'39. Watson Woods Riparian Preserve (North)' + 
'41. Watson Lake (East Shore)' + 
'42. Watson Lake (West Shore)' + 
'43. Watson Lake (North Boat Ramp)' + 
'44. Willow Creek (Upper)' + 
'45. Willow Creek (Middle)' + 
'46. Willow Lake (Inlet)' + 
'47. Willow Lake (Old Gravel Yard)' + 
'48. Willow Lake (South Shore)' + 
'49. Willow Lake (North Shore)' + 
'50. Willow Creek (Below Willow Lake in Granite Dells)' + 
'51. Wherever help is most needed' + 
'52. Whipple Bio-Basin' + 
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'01. Acker Park Drainages - East' + 
'02. Acker Park Drainages - West' + 
'03. Aspen Creek (Upper)' + 
'04. Aspen Creek (Lower)' + 
'05. Banning Creek (FS Boundary to Granite Creek)' + 
'06. Butte Creek (Upper)' + 
'07. Butte Creek (Middle)' + 
'08. Butte Creek (Lower)' + 
'09. Goldwater Lake (Shoreline)' + 
'10. Government Canyon (Upper)' + 
'11. Government Canyon (Middle)' + 
'12. Government Canyon (Lower)' + 
'13. Granite Creek (Hwy 89 to Ponderosa Park Rd)' + 
'14. Granite Creek (Ponderosa Park Rd to White Spar Campground)' + 
'15. Granite Creek (White Spar Campground to Haisley)' + 
'16. Granite Creek (Haisley to White Spar @ Fire Station)' + 
'17. Granite Creek (White Spar to Carleton)' + 
'18. Granite Creek (Downtown - Carleton to N Granite)' + 
'19. Granite Creek Park (N Granite to Montezuma bridge)' + 
'20. Granite Creek Park (Montezuma bridge to 6th)' + 
'21. Granite Creek (6th to Tribal Boundary)' + 
'24. Granite Creek (Industrial Way)' + 
'25. Granite Creek (in the Granite Dells - Below Watson Lake)' + 
'26. North Fork of Granite Creek (Upper)' + 
'27. North Fork of Granite Creek (Lower)' + 
'28. Manzanita Creek (Upper)' + 
'29. Manzanita Creek (Lower)' + 
'30. Miller Creek (Upper)' + 
'31. Miller Creek (Middle)' + 
'32. Miller Creek (Lower)' + 
'33. North Fork of Miller Creek (above Gail Gardner Way)' + 
'34. North Fork of Miller Creek (Gail Gardner Way - Peace Ln)' + 
'35. North Fork of Miller Creek (Peace Ln - Miller Crk)' + 
'36. Peavine Trail (South)' + 
'37. Peavine Trail (North)' + 
'38. Watson Woods Riparian Preserve (South)' + 
'39. Watson Woods Riparian Preserve (North)' + 
'41. Watson Lake (East Shore)' + 
'42. Watson Lake (West Shore)' + 
'43. Watson Lake (North Boat Ramp)' + 
'44. Willow Creek (Upper)' + 
'45. Willow Creek (Middle)' + 
'46. Willow Lake (Inlet)' + 
'47. Willow Lake (Old Gravel Yard)' + 
'48. Willow Lake (South Shore)' + 
'49. Willow Lake (North Shore)' + 
'50. Willow Creek (Below Willow Lake in Granite Dells)' + 
'51. Wherever help is most needed' + 
'52. Whipple Bio-Basin' + 
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'By clicking the Submit button on this form volunteer agrees that s/he will not hold Prescott Creeks liable for any injuries s/he may receive while participating in any volunteer project, even if s/he believes that Prescott Creeks has been negligent in any manner or has breached any claimed agreement. Volunteer acknowledges that s/he voluntarily assumes all risks of participation in any project and shall not hold Prescott Creeks responsible for any consequences of same. Volunteers also understand that images collected during their service may be used by Prescott Creeks on website, brochures, and other promotional materials.' +																																																																																																																																																																
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'Yes, I have read and agree to the Liability Waiver' + 
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                                                       '  
THANK YOU! Your Pre-Registration has been sent to Prescott Creeks
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                                                       '  
If you haven\u0026#39;t received a confirmation email in your inbox, please check your SPAM/Junk mail folder; if the message is there, please add Prescott Creeks to your contacts.\r\u003cbr /\u003e\r\u003cbr /\u003eThanks for for Pre-Registering for the 2025 Granite Creek Cleanup on April 19th!\r\u003cbr /\u003e\r\u003cbr /\u003eThe information you supplied in the pre-registration form has been added to our system and you should receive a confirmation email from Cleanup@PrescottCreeks.org. (If you do not see it in your inbox please check your SPAM or Junk folder and add \u0026quot;@PrescottCreeks.org\u0026quot; to your Safe Sender List.) \r\u003cbr /\u003e\r\u003cbr /\u003eWe\u0026#39;ll contact you by email the week before the event with details about Sign-In procedures, your assigned Cleanup Location, and other relevant event information. \r\u003cbr /\u003e\r\u003cbr /\u003eIf you have any questions, comments please don\u0026#39;t hesitate to contact us by email at Cleanup@PrescottCreeks.org or by phone at (928) 445-5669.
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