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Adopt a Street - Registration Form

Home » Adopt a Street – Registration Form

Adopt-a-Street: Registration (1)

Register to join the Adopt-a-Street scheme in Liskeard

Name(Required)

Email(Required)

Address

Street Address Address Line 2 Town Post Code

Phone

Are you joining as(Required)

an individual

an organisation

Name of organisation (if applicable)

Area you wish to adopt (Public land only - residential streets, footpaths and parks)(Required)

Would you like to sign up to our Adopt a Street newsletter via email?(Required)

Yes

No

Risk Assessment(Required)

I confirm I have read the risk assessment

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