Riverbank Clean Up Data Entry Form

Please submit the data associated with the trash collected by your group. If you would prefer to submit information by mail you can send your data cards to: 

Environmental Management Council 
5th Floor, Broome County Office Building, 60 Hawley Street
PO Box 1766
Binghamton, New York  13902

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Group Information
Group Name *
Stream Captain Name and Email Address (for confirmation) *
Date of Clean Up *
MM
/
DD
/
YYYY
Number of Total Volunteers At Site *
Please check to confirm that each of your group's volunteers have submitted their Liability Release. *
Required
Stream Health
Did you notice any areas with suspicious discharges into the streams you were cleaning near? If yes, please provide as much detail as possible about what you saw. *
Did you notice any areas with high erosion? If yes, please provide as much detail as possible about what you saw.
 *
Results/Trash Collected
Total Weight of Trash Collected *
Number of Bags Used *
Individual Items Found: 
Check all that apply
Check All That Apply
 *
Required
Other Items (List)
Peculiar Finds (List)
Additional Notes/Comments
Give Us Your Ideas!
What did we do well this year? *
What could we do to improve this event? *
Send photos from the event that you would like to share to emcbroomecounty@gmail.com

Tag us on Facebook @BroomeEMC 
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