Operation Clean Sweep Registration
Please fill in the form below.
Full Name
*
First Name
Last Name
I want to volunteer for a cleanup
*
4/18/2020-Land Lubber / Neighborhood Cleanup (8:30am-11am)
4/18/2020-Beachcomber/ Palmer's Island Cleanup (11:30am-3pm)
4/18/2020-Earth Day Hero / I'll volunteer for both! cleanups!
Do you want to be on a Team?
*
Yes
No
I would like to join an existing Team
Team Name
Do you want to be a Team Captain?
Yes
No
Team Captain's Name
Co-Captain's Name
Where do you want to clean? Choose a location from the list below.
E-mail
*
Phone Number
-
Area Code
Phone Number
# of Volunteers up to 17 years old (Under 16 must be accompanied by an adult)
*
# of Volunteers 13-15 years old - must be accompanied by an adult
*
# of Volunteers 16-18 years old
*
# of Volunteers over 18
*
Number of Small T-Shirts needed
Small
Number of Medium T-Shirts needed
Medium
Number of Large T-Shirts needed
Large
Number of X-Large T-Shirts needed
X-Large
Number of XX-large T-Shirts needed
XX-Large
Community Service Form Needed
Yes
No
Enter the message as it's shown
*
Waiver
*
Submit Form
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