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First Name (required)

Surname (required)

Address (required)

Postcode (required)

Your Email (required)

Contact Number (required)

Date of birth (required)

How did you hear about becoming a Riverfly Monitor?

What is the name of the local River you would like to monitor?

What is the nearest Town?

What is the 6-figure grid reference for the location (if known)?

Would you like to be added to the Severn Rivers Trust mailing list, to be kept up to date with all volunteering opportunities and the work of the Trust?