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* 1. You are signing up to be included on the Volunteer snow shovel list for the City of Newton, winter 2013-2014. When you sign to be on the list, your name, village and phone # will be made available to those residents, often elderly, needing assistance with snow shoveling. if you are under the age of 18 you should check with parent(s) before signing up on the list.

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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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