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Adopt-A-Block

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This form has been modified since it was saved. Please review all fields before submitting.

Full Name of Block Manager*
Email Address*
Phone Number*
Number of volunteers in the group*
Would you like your group to be recognized on the website and social media?*
1. Yes
2. No
How would you like your group name to be displayed for recognition? (Example: Main Street Program, The Smith Family)*
Which block(s) are you looking to adopt? *
Attach business or organization logo if applicable