Data Collection Card
Team Leader
*
First Name
Last Name
Team Name
if applicable
Email
example@example.com
Phone Number
-
Area Code
Phone Number
What County did you work in?
*
Martin
St. Lucie
Indian River
Cleanup Site
*
List Other Site if Applicable
How are you participating in the waterway cleanup?
on foot
on watercraft
diving
What date did you perform your cleanup?
Where did you hear about the cleanup? (Select all that apply.)
TV
103.7 Coast
101.7 Real Radio
93.7 GYL Today's Best Music
B94.7 Fresh Country
Social Media
Poster/Flyer
Word of Mouth
Event/ Festival
Other
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How many people worked on this data collection?
*
Number of Trash Bags Filled
Total Estimated Weight
*
pounds
Estimated Time Spent on Cleanup
*
# of volunteers x hours spent
Comments:
Let us know if you still need a t-shirt or request a volunteer letter.
Photo Share
Please share photos of the cleanup at your location. We love seeing you with your haul or trashy treasures.
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Please record the total amount of each item collected. Any peculiar items that are not already listed, can be added at the bottom.
Recreational Activities
Debris from fast food, beach-goers, festivals, litter from streets/storm drains etc.
6 Pack Holder
Bags
paper or plastic
Balloons
Batteries (small)
Beverage Bottles
plastic
Beverage Bottles
glass
Beverage Cans
Caps, Lids, Pull Tabs
Chair
Cigarette Butts
Clothing, Shoes
Coolers
Cups, Plates, Plasticware
Diapers
Face Mask
Fireworks
Food Containers/ Wrappers
Gloves
Golf Balls
Grill
Lighter
Plastic Pieces
Straws/ Stirrers
Styrofoam
Tennis Balls
Toys
Waterway Activities
Debris from recreational/ commercial fishing and boat/vessel operations
Bait Containers/ Packaging
Bleach/ Cleaner Bottles
Buoys/ Floats
Buckets
Crab/ Lobster/ Fish Traps
Crates
Fishing Line
feet
Fishing Nets
Fishing Poles
Lures/ Light Sticks/ Hooks
Light Bulbs/Tubes
Oil/ Lube Bottles
Pallets
Plastic Sheeting/ Tarps
square feet
Rope
feet
Strapping Bands/ Tie Wraps
feet
Dumping Activities
Appliances
Automotive Parts
Batteries
large/ car
Boards/ Planks/ Plywood
square feet
Building Materials
Drums/ Garbage Cans
Tires
Misc. Items/ Other
Please feel free to add any other items that haven't made it on our list.
Submit
Should be Empty: