Required fields are marked with asterisks (*)

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

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

Yes