Volunteer Supplies Reservation Form

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Clark County Public Works Volunteer Program

Please use this form to request materials for a volunteer activity.

We cannot guarantee that tools and materials will be available for your activity. Supply reservations are made on a first-come, first-served basis. We suggest requesting supplies at least 2 weeks before your activity, but further in advance is recommended.

Your name (first and last) *

Your phone number and email address *

What program or activity would you like to borrow tools/equipment for? *

Adopt-A-Road cleanup

Adopt-A-Park cleanup

Park cleanup (I'm not part of the Adopt-A-Park program or with a group that has adopted a park)

Work party with an organization (examples: Whipple Creek Restoration Committee, DOGPAW, Evergreen Mountain Bike Alliance)

Other:

Where is your volunteer activity taking place? (Please enter park name, trail name or street name) *

On what date is your activity taking place? *

YYYY

At what time is your activity starting? *

Time

What equipment would you like for us to provide to you? *

An Adopt-A-Road cleanup kit (if you select this option you don't need to select any others; the kit will be fully stocked)

Litter bags

Litter "grabbers"

Gloves (disposable, for litter pickups)

Gloves (gardening-type, for activities other than litter pickup)

Shovels

Rakes

Hand clippers

Long-handled pruners

Tarps

Other:

Required

For each item you requested above, please tell us how many you'd like. *

Please list three dates/times you would like to pickup the materials provided to you. *

Thank you!

We will contact you to confirm a pickup date and time. If you are requesting supplies for an activity that is less than 2 weeks from today, please call 360.946.7584. Please note: we may not have supplies available on short notice, or be available to schedule a pickup.

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