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2. Tennessen Warning Privacy Notice
   Under Minn. Stat. § 13.548 (2016), the name, address, telephone number, and other identifying information you are being asked to provide in this form is private data. City of Wayzata employees and volunteers use this information to register you for this program, and contact you about your participation in this program. You are not required by state law or City Code to answer questions or provide the information requested. However, a refusal to answer questions or provide the information requested will prevent you from being registered for this event.
4. Name*
6. Address*
8. City*
9. State*
10. Zip*
12. Phone Number*
13. Email Address*
15. Do you want to keep your phone and email address confidential?*

    1. Yes

    1. No
17. Additional Information
    Please list any experience or education you feel may be relevant or noteworthy.
19. Volunteer Initiatives

    Please choose an initiative.

    1. Administration / Public Works Initiative
    2. Big Woods Initiative
    3. Boardwalk Residence Senior Initiative
    4. Gardens Initiative - Planting Day (Dig It/Pull It) & Adopt-a-garden
    5. Wayzata Gateway Landscape Project
Leave This Blank:


21. 1. Receive an email copy of this form.
22. Email address

    This field is not part of the form submission.

23. Submit

* indicates a required field