Illinois Water TrailKeepers

* First Name: * Last Name: * Age:

* Address: * City, State, Zip:

* Home phone: cell phone: * Email address:

* Years paddling: * I am able to swim Yes No *I own a canoe Yes No * kayak Yes No

* I own a pair of waders Yes No

* I own a chainsaw Yes No

* I have had chainsaw training Yes No

*Hours of chainsaw experience

Clicking the "Submit button will send report to Water TrailKeepers. If the submit button doesn't work please send information to: lstroker@msn.com