Skip to main content area
Home
About
Team
Press
Financial
Environment
Creatures
Kids
Youth
College
Get Involved
Search form
Search
Register Your Team...
Coordinator Information
First Name
*
Last Name
*
Type of organization
*
After school group
Business
Faith-based
Informal youth group
Neighbourhood
Non-profit
Other
School
Scout troop
Age
*
Organization
*
City
*
State
*
Zip
*
Phone Number
*
Email
*
Clean Up Information
Event Title
*
Event Description
*
Date of Event
*
Year
Year
2011
2012
2013
2014
2015
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Start Time
*
hour
1
2
3
4
5
6
7
8
9
10
11
12
:
minute
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
am
pm
End Time
*
hour
1
2
3
4
5
6
7
8
9
10
11
12
:
minute
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
am
pm
Number of Volunteers
*
Name/Location of Area to be Cleaned
*
Type of Clean Up
*
Waterway clean up
Community garden
Creek restoration
Habitat restoration
Neighbourhood cleanup
Roadside clean up
School clean up
Trail maintenance
Park clean up
Other
Do you want additional volunteers referred to your Clean Up
*
yes
no
Number of additional volunteers needed
*
Trash Collection Information
Description of area to be cleaned
*
Do you have a means of trash collection currently for the bags collected during your clean up?
*
yes
no
Supply Request Information
Number of bags
*
Number of gloves
*
Poison ivy block
*
yes
no
Number of pick up tools
*
Number of sharps containers
*
First aid kit
*
yes
no
Waiver
IMPORTANT!
Download the Cleanup Waiver
, fill out all the spaces, sign, and upload here.
Upload waiver
*
Add new comment
