2023 GBI Litter Cleanup Registration Form

2023 Litter Cleanup Registration Form
Litter Cleanup Event:
Name

First Name Last Name
Email
example@example.com
Event Day Phone:
Please enter a valid phone number.
I am signing up for:

a group, club, or organizationmy familymyselfAdopt-a-Street partnerAdopt-a-Stream partner
Group, organization, or neighborhood name:
Estimated # of adult volunteers (18 and older)
Estimated # of youth volunteers (under 18)
Do you have a cleanup site?*

YesNo
We can help!

Click on the link below to view the Litter Map and select from the available cleanup sites. Sites indicated by a RED marker are available.

LITTER MAP
Please specify the location of your selected cleanup site by listing name of street, intersection, neighborhood, school, stream, etc.
Please list the date of your cleanup:

MonthDay Year
Date
Should be Empty:

2023 Litter Cleanup Registration Form