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2. Please note: The Adopt a Bed Program is strictly voluntary. You are not committing to a certain number of hours or to making specific work days. Groups will create their own schedule but it is understood that not everyone will be able to always meet the schedule.
4. Name
5. Email Address
7. Address
   Riverside, IL
8. Phone Number
10. Please check all that apply

    1. I am interested in helping maintain the beds in the Central Business District
    2. I am interested in helping maintain the beds around the Village Hall
    3. There is a bed that I would like to adopt
12. Please describe the location of the triangle area or bed and include the number from the Adopt a Bed Map
Leave This Blank:


14. Submit

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