Goose Egg Oiling/Goose Roundup Form

2. Goose Egg Oiling/Roundup Form
   Please fill out this form with your name, address, email, and phone number. Select whether you are opting in for the goose egg oiling OR goose roundup OR both OR opting out. Please allow 2-3 weeks for processing time.

   Please fill out this form with your name, address, email, and phone number. Select whether you are opting in for the goose egg oiling OR goose roundup OR both OR opting out. Please allow 2-3 weeks for processing time.

4. Owner First Name*

5. Owner Last Name*

7. Address of Property*

9. City, State, Zip Code*

11. Owner Email

12. Owner Phone Number*

14. Options*

    1. I consent to goose egg oiling.
    2. I consent to goose round up.
    3. I consent to both goose egg oiling and goose roundup.
    4. I do not consent to either goose egg oiling or goose round up.

16. What am I consenting to?
    By consenting to the egg oiling and/or round up, you are allowing government officials to enter your property to complete the egg oiling and/or round up performed by the USDA. This agreement does not expire until the resident living at the address on this form makes a change using a new form.

    By consenting to the egg oiling and/or round up, you are allowing government officials to enter your property to complete the egg oiling and/or round up performed by the USDA. This agreement does not expire until the resident living at the address on this form makes a change using a new form.

17. Do I have to sign up every year?
    No. If you wish to make a change you must fill out a new form and submit it to the City. Please submit requests to City Hall at 500 Genesee Street, Delafield, WI 53018. Residents with a form on file with the City will receive a post card in the mail each year as a reminder of their participation.

    No. If you wish to make a change you must fill out a new form and submit it to the City. Please submit requests to City Hall at 500 Genesee Street, Delafield, WI 53018. Residents with a form on file with the City will receive a post card in the mail each year as a reminder of their participation.

19. USDA
    www.usda.gov

    More information can be found at the United States Department of Agriculture website.

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21. 1. Receive an email copy of this form.
22. Email address

    This field is not part of the form submission.

23. Submit

* indicates a required field