Form Center

By signing in or creating an account, some fields will auto-populate with your information.
  1. Welcome to Grate Keepers

    Thank you for participating in the Village's Grate Keeper Program.

  2. Enter Identification Number

  3. Pick the Name of Your Grate (Be Creative)

  4. Personal Information

    The below information will not be publicly posted.

  5. Participant Waiver*

    Please check the box to signify that you have read and agree to the Village's Participant Waiver.  This is required. 

  6. Leave This Blank:

  7. This field is not part of the form submission.