Name *

First Name

Last Name

Do you own or rent your residence? *

The property owner must sign an 'Access Agreement' granting BWC and Wildfire Partners access to the property once work has begun. Once signed up, we will send you this access agreement form.

I own and occupy

I own and rent out short term

I own and rent out long term

I am a renter

Check all the services below that you would like to receive.

Select all that apply.

Cleaning decks

Removing juniper trees and bushes

Forestry & chainsaw work 30 ft from home

Weed whacking

Raking pine needles

Removing small trees & shrubs

Low limbing & trimming trees

Hauling combustible items to dumpsters

Removing slash & debris

Installing weed barrier & gravel 3 ft from home

Name *

First Name

Last Name

Which of the following workshops do you plan on attending?

Southeast Area: Porter Ranch, Twin Sisters/Pine Glade, Lazy Z, Tungsten Mtn., Pinecliffe

Northeast Area: Peak to Peak, Ridge East, Cold Springs, Comforter Mtn

Nederland Town Area: Beaver Creek, Sundown, West Ridge, Bonanza, Nederland, Big Springs

Southwest Area: Fourth of July, Cardina/Caribou, Eldora

Do you require babysitting/daycare at this event in order to attend?

Yes

No

What is your age range?

Under 18 years old

18-30 years old

31-50 years old

51-70 years old

Above 70 years old

Which of the following categories describes your annual household income?

Less than $25,000

$25,000 - $49,999

$50,000-$99,999

$100,000-$199,999

$200,000-$299,999

More than $299,999

Which of the following best describes your current employment situation?

Employed full time (including self-employed)

Employed part time (including self-employed)

Unemployed

Retired

Disabled or unable to work

Do you own or rent your Nederland/ Timberline residence?

I own and occupy

I own and rent out short term

I own and rent out long term

I am a renter