HCCC Keep America Beautiful Cigarette Litter Patrol Sign Up Form
Sign up to #HelpHamptonKickButts! and help us get rid of cigarette litter in our city. Needed are Cigarette Litter Patrol Volunteers. Cigarette Litter Patrol participants will receive CLPP kits that contain a safety vest & gloves, litter grabbers, counters, and a canister for cigarette litter collection.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Site Location
By clicking the button below, I am certifying that I am 18 years of age or older. (Children are not allowed to participate in this program)
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I am over the age of 18
Safety is our priority! Read the safety guidelines and agree to ALL OF THEM by checking the following boxes.
Yes, I agree that all sponsors of this cleanup will not be held liable or legally responsible for any injury, loss, or damage associated with the cleanup.
I will share the waiver provided by HCCC with all volunteers at my cleanup.
I agree to participate at my own risk.
I will wear closed-toed shoes and dress appropriately for the site.
I will follow all regulations and hours of operation at parks and beaches.
Submit
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