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Crumb Stoppers© Application Form

I want to be a Crumb Stopper. 

I realize that becoming a Crumb Stopper means:

1. Reporting crummy acts to Crumb Stoppers when I see them.
2. Remembering to be nice to others and to treat them as I want them to treat me.
3. Remembering to be polite and to say “please” and “thankyou”.
4. Being a good citizen.
Note: You must be at least 13 years old to apply, 
if not please ask your parents to apply for you.
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Your Name:

Your Email:
I am at least 13 years of age.
I will report crummy acts to Crumbstoppers when I see them
I will treat others as I want to be treated
I will remember to be polite
I am a good citizen
Please send me my Crumb Stoppers Membership Card.







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