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Contact Information <br />Group Name: <br />Address: <br />Contact Name: Phone number: <br />Email Address: <br />Website Address: <br />Area Selection <br />0 Park: Q Trail Segment Q Garden / Landscaping Area <br />0 Natural Area Q Rain Garden Q Street Q Storm Drain Q Fire Hydrant Q Other <br />Describeyour chosen location in detail. If you've selected "other," shareyour adoption idea below: <br />Why did you choose to adopt this area? <br />How long do you intend to adopt this area? QTwo Years 0 This is a one-time event. <br />Are you opting to be a Premier Partner? Q No, not at this time. Q Yes, we can commit at this level. <br />Acknowledgement <br />I have read and agree to the Adopt -a -Park guidelines outlined in this packet. <br />Signature: <br />Adopt -a -Park Contact <br />Jess Skalicky, Parks and Recreation Manager <br />1245 Hwy 96 W, Arden Hills, MN 55112 <br />jskalicky@cityofardenhills.org <br />work: 651-792-7845 <br />Date: <br />