Professor Olivia the Owl's Litter Lifters
Please have your parent or guardian complete this form. Sign up to receive your Litter Lifters Passport and Trash Tracker badge. If you have completed your litter pick-up using a litter kit, please submit the location of your bag(s).
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Email
example@example.com
Litter Lifter First Name
First Name
Which Branch Did you check out your Owl's Litter Lifters Kit?
*
Please Select
Cooper Branch
Fredericksburg Branch
Howell Branch
Montross Branch
Newton Branch
Porter Branch
Salem Church Branch
Snow Branch
Towne Centre Branch
N/A
Library Branch
Please provide the location, including the address or cross streets, and the city/town where your collected bags of litter were placed. If you did not pick up bags, please put "N/A".
*
Would you like to participate in Professor Olivia’s Eco Action program? If so, please provide your mailing address so we can send you a Litter Lifters passport with your first badge.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Do you want to receive a monthly Professor Olivia e-newsletter?
*
Yes
No
Share your photos from clean up for us to share with community.
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