#CleanGlodwick Registration Form
First of all thank you for showing an interest in being part of the solution.

In the new #CleanGlodwick campaign, your role as street co-ordinators is vital in getting your street active in maintaining clean streets, footpaths and alleyways.

The plan is to have a clean up EVERY FORTNIGHT, Which will take less than an hour a month!

For far too long, for a number of reasons our area has been over-run by litter. It is vital that we set a good example for our families, children and the next generation.


This campaign will be run every fortnight on Sundays at 2pm.

5-Point Street Co-ordinator role:

1) Each street co-ordinator/s will be tasked to get as many people as possible from their block to participate in order to achieve this objective on a fortnightly basis.

2) Get everyone from your block to fill in this form too so messages can be centrally co-ordinated as to when the next street clean is taking place.

3) Contact residents from your block on the Wednesday before it takes place.

4) Let the masjid know on the Friday before the street clean and if possible get an announcement made as an additional reminder

5) Phone individuals from your block/street on Saturday in order to motivate/prepare them for the following day.


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Name *
House Number *
Street Name *
Post Code *
Mobile Number *
Email Address *
Do you have any special needs related to your street ?
If you have any specific areas such as green space, please provide further information here
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