Community Cleanup Registration Form

Volunteer information

Are you a new or returning volunteer?

New volunteer

Returning volunteer

First name

Last name

Email address

Phone number

Address

City / Town

Postal code

How did you hear about us?

Do you wish to be contacted for future cleanups?

Street name / location of cleanup

Number of volunteers participating in cleanup

Please follow all AHS public health measures, including outdoor gathering restrictions

Are you participating on behalf of an organization or community group?

Yes