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2. First Name*
3. Last Name*
4. Email Address*
6. Address*
8. City*
9. State*
10. Zip Code*
12. Phone Number*
13. Alternate Phone Number
15. School*
17. Date of Birth*
18. Age*
20. I am willing to perform the following types of work:*

    1. Cutting Grass
    2. Raking Leaves
    3. Pulling Weeds
    4. Shoveling Snow

    Please check all preferences.
22. Do you own a lawnmower?*

    1. Yes
    2. No
24. If a resident could provide a lawnmower would you be comfortable using it?

    1. Yes
    2. No
26. Please list an acceptable starting pay you expect for performing the following kinds of work or if you are working as a volunteer please enter 0:
28. Lawn Care Fee:*
29. Snow Shoveling Fee:*
31. Comments
33. Waiver of Liability and Hold Harmless Agreement*

    1. I acknowledge the waiver terms below

    Please check to acknowledge that you have read and agree to the terms and conditions of the agreement. If mailing in your submission, please print the agreement and include a signed copy with your mailing.
35. Click to View Waiver
37. Print and Mail to The Mayor's Office
    Return signed and completed application to the Mayor's Office: 401 E. Gay Street West Chester, PA 19380 or click below to submit electronically.
    
    For more information, contact the Mayor's Office at 610-696-4930.
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39. 1. Receive an email copy of this form.
40. Email address

    This field is not part of the form submission.

41. Submit

* indicates a required field