2020 Signup Form for the International Coastal Cleanup in Virginia "The Ocean starts at your front door"
The 2020 Virginia Waterways Cleanup is part of the Ocean Conservancy's International Coastal Cleanup (ICC). All ICC events in Virginia are coordinated by Clean Virginia Waterways of Longwood University.  This year, we are excited to promote statewide cleanups in conjunction with the Alliance for the Chesapeake Bay' Project Clean Stream. Learn more: https://www.chesapeakenetwork.org/groups/project-clean-stream/ 

Please sign up your family or group today using this form and join the global effort to have trash free seas!

SMALL GROUP CLEANUPS THIS YEAR:
The ICC in Virginia WILL be held this fall, BUT all cleanup events will be done with small groups. We will not be promoting large events in 2020. So grab your family, and do a mini-cleanup any day of the week this fall.

DATA COLLECTION: AN IMPORTANT PART OF THE ICC:
Please collect data about the trash you are finding -- your data will be used to help us understand trends and come up with solutions to plastic pollution! You can collect data using paper forms (you can download them) OR you can use the CleanSwell App on your smartphone.
        Download data cards and learn about the CleanSwell App here:
        http://www.longwood.edu/cleanva/VolunteerSiteCaptain.html


DATE OF YOUR CLEANUP:
Your mini-cleanup can be held on ANY date between late August and early November. Follow all regulations and hours of operation for beaches and parks.

Questions? Please call 434-395-2602 or send an email to cleanva@longwood.edu. Thank you for making our world cleaner!
Sign in to Google to save your progress. Learn more
Have you participated in an International Coastal Cleanup event in a previous year? *
Your First Name *
Your Last Name *
Name of organization (or family, school, park, business). This is the name that we will print on your certificate. *
Mailing Address, Line 1 (CVW needs your address so we can mail you a certificate, safety guidelines, and a bandanna. If you do not want these items, just type "NA" in the address fields.) *
Mailing Address, Line 2
City *
State *
Zip Code *
Cleanup Site Location (Name of park, neighborhood, stream or beach you will be cleaning) *
County (or incorporated town) *
Date of Cleanup (if known)
MM
/
DD
/
YYYY
Contact Email for CVW to use to contact you. *
Your phone number for CVW to contact you. (Optional)
Which best describes your cleanup site? *
Required
CLEAN SWELL (The app for smart phones)
Clean Virginia Waterways encourages you to use the CLEAN SWELL app to collect data.  Please download this FREE app onto your smart phone or tablet, and try it out. IMPORTANT: Be sure to type in the number of volunteers and an estimate of the pounds you collect!  If you prefer to collect data with the good old paper "Marine Debris Data Forms"-- please download it ! As long as we get data from your volunteers about the types and quantities of trash the are finding, we are HAPPY!!
Will you collect data for us this fall? *
Required
Safety is our priority! Please read the safety guidelines on this page (http://www.longwood.edu/cleanva/SafetyPlan.html), then check the box below.
Liability Waiver: In checking this form, I acknowledge that there are risks and hazards associated with cleanup events and I agree to assume all such risks and the possibility of hazards to me, my child (children), and all real or personal property, and do not hold the Alliance for the Chesapeake Bay nor Clean Virginia Waterways, property owners, Site Captain, or  other associated organizing group(s) responsible. I recognize that by signing this document I am waiving certain rights, including the right to sue.
Is there anything else we need to know about your cleanup event?
Would you like your cleanup to be listed on the Clean Virginia Waterways' webpage for 2020 events? If yes, then please tell us what you want us to share about your cleanup (meeting location, or pre-registration requirements, etc.) http://www.longwood.edu/cleanva/cleanupevents2020.html
If you want CVW to send you some trash bags, please tell us the number of bags you would like. Usually, it is 2 bags per volunteer.
If you want CVW to send you some Data Cards, please tell us the number of cards you would like. Usually, it is 1 data card per 3 volunteers.
Thank you for signing up for the ICC in Virginia! Your donation of time is so appreciated!
A certificate, safety guidelines, and one super-special bandanna will be sent to each group doing a cleanup this fall. Please contact us if you have any questions or have special needs.

Clean Virginia Waterways
Longwood University
201 High Street
Farmville, VA 23909
Email: cleanva@longwood.edu
Phone: 434-395-2602
Fax: 434-395-2978
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms