JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Ventura Surfrider Solo Beach Cleanup Data Card
Thank you for doing a solo beach cleanup! While we are on this temporary postponement of Ventura County Surfrider in-person activities, we have created this 'virtual data card' for your solo-beach cleanups! These data cards will be entered into the National Surfrider Beach Cleanup Database to track and monitor marine debris on our beaches.
If you prefer to still fill out the data cards on paper (like you do at the "C" Street Cleanups), you can download a pdf using this link:
https://ventura.surfrider.org/wp-content/uploads/2019-Beach-Cleanup_Data-Card-1.pdf
Instructions: Add the total number of items collected in the different categories below. If you do not know exact count of the items, estimate to the best of your abilities.
Please remember to always follow all guidelines on how to protect yourself while out in public:
https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/prevention.html
For more information on our beach cleanups, visit
https://ventura.surfrider.org/beach-cleanups/
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Date
*
MM
/
DD
/
YYYY
Time of Cleanup
*
Time
:
AM
PM
Beach Location
*
Surfers' Point/Ventura Pier
Ormond Beach
Other:
How Many Cigarette Butts?
*
Your answer
How Many Balloons?
*
Your answer
How Many Plastic Gloves (Single gloves, put 1. pair of gloves, put 2)
*
Your answer
How Many Face Masks? (PPE masks)
*
Your answer
Nurdles
How Many Nurdles (see image above, small pre-production plastic pellets)
*
Your answer
***Priority Plastic Items***
Plastic Bottles (Beverage)
*
Your answer
Plastic Bags (Shopping / Grocery)
*
Your answer
Plastic Food Wrappers (Candy, Chip Bags, etc.)
*
Your answer
Plastic Straws
*
Your answer
Plastic Forks, Knives, Spoons
*
Your answer
Plastic Cups
*
Your answer
Plastic Lids (Yogurt Lids, Coffee Lids, etc.)
*
Your answer
Plastic fragments (larger than a dime)
*
Your answer
Plastic fragments (smaller than a dime)
Your answer
***Priority Foam Items***
How Many Foam Cups
*
Your answer
Foam Take-Out Food Containers
*
Your answer
Foam fragments (larger than a dime)
*
Your answer
Foam fragments (smaller than a dime)
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Surfrider Foundation.
Report Abuse
Forms
