2026 Community Cleanup Registration Form

Community Cleanup Registration Form

Please fill out the following information so the Community Services Team can reach out and provide supplies for your cleanup.
The 2026 Community Cleanup Initiative will take place from April 22nd (Earth Day) -May 12th (Provincial Day of Action on Litter).

We’re inviting everyone—individuals, families, schools, and local groups—to join us in making our community a cleaner, greener place to live. Whether you pick up litter along the waterfront or help tidy up a local park, every action makes a difference. 💚

How to get involved:
1. Choose a date between April 22, 2026, to May 12, 2026
2. Fill out this online registration form
3. The ToP Community Services & Recreation team will contact you to make arrangements to provide you with gloves, garbage bags and lend you trash pickers and safety vests if requested.
4. Choose your location and start your cleanup! Once collected, take a picture of your litter collection results email your results to recreation@prescott.ca
5. Once your cleanup is complete, leave your bag at the closest public garbage can in your cleanup area and our team will dispose of it!

If you have any questions contact recreation@prescott.ca or 613-925-2812 ext 6230

Thanks for volunteering and helping to make Prescott shine!
Full Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Postal Code

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Participation Details
Are you registering as:*

IndiviudalFamilyGroup/OrganizationSchool
If registering as a Group/Family/School, please indicate the group name and number of participants below
Availability and Commitment
Which date/s will you participate? *
List your cleanup window. (Example: April 22-May 13)
Cleanup Location Preference
Please select your preferred cleanup location(s):*

ParksWaterfrontDowntownResidential StreetsNo preference
Would you like a pre-assigned area or choose your own?*

Pre-assignedChoose my own
If you prefer to choose your own location, please specify the location below:
Supplies & Support
Do you require supplies? (check all that apply)*

Garbage BagsGlovesSafety VestLitter Picker tool
Will you be using your own supplies?

YesNo
Media Consent
I give the Town of Prescott full permission to use the images taken of me during the activity(ies) in question in unlimited usage and format. This may include print or digital format for an unlimited duration. In agreeing to this, I also give the Town of Prescott publishing rights of the said images with no financial compensation. I am 18 years of age or older.
Do you consent to photos being taken and used by the Town of Prescott for promotional purposes?*

YesNo
Optional
How did you hear about this initiative?
Have you participated in this initiative in the past?

YesNo
Safety & Waiver
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Should be Empty:

Community Cleanup Registration Form

Participation Details

Availability and Commitment

Cleanup Location Preference

Supplies & Support

Media Consent

Optional

Safety & Waiver