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* 1. You are signing up to be on the City of Newton snow shovel list for winter 2013-2014. If you are under the age of 18 you should check with parent(s) before signing up to be on this list. When you receive a phone call for a possible job, you will be responsible for negotiating a price and establishing parameters for the job. This is a private negotiation with no City involvement.

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* 2. First Name

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* 3. Last Name

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* 4. Street Address

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* 5. Name of your Village

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* 6. Name of your elementary school district

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* 7. Zip Code

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* 8. Phone Number

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* 9. E-mail address (e-mail addresses will not be shared or distributed)

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