Clean It and Green It Registration Form

Clean It and Green It Registration Form

April 22 - April 26
This year, the Clean It and Green It event is going virtual giving you the freedom to clean-up litter at your convenience between April 22nd and April 26th within the city limits of Port Lavaca.

Get together a team, or register as an individual. We can all make an impact!

Complete the registration below.

Before or on April 22, go to City Hall to pick up your participant kit, download the app, then get outdoors and get tracking!

Included in the clean-up kit:
1. One safety vest per participant
2. A few trash bags
3. A pass showing approved city receptacles to toss your trash bags
Team/ Individual Details:
Team Name:
Organization:
How many participants are on your team?
Contact person information:
Full Name*

First NameLast Name
Phone Number*
E-mail*
example@example.com
Please keep safety in mind when participating in a litter clean-up.
Should be Empty: