Team Up 2 Clean Up Registration

Name *

Phone Number *

E-mail *

Group Name

Cleanup Location *

Supplies Needed *

Pickup Sticks

Safety Vests

Gloves

Trash Bags

None

Number of Volunteers

By clicking Yes, the group coordinator recognizes that this event involves some risk and he/she takes responsibility for all action or injury that may result in participating in the cleanup. All children under the age of 18 must be accompanied by a parent/legal guardian. *

Yes

Required