JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
University Corridor Cleanup Form
Join Parish Proud and its partners on November 14 for a day of cleaning up along the University Avenue Corridor! One small act can make the world of difference! Help Parish Proud beautify one of the entryways into the heart of Lafayette and #PickUpLFT. Social distancing and mask orders will be followed.
Though this page is for our main University Avenue Corridor pickup event, we encourage you to clean around your neighborhoods and community spaces if you can't join the main event! Use #PickUpLFT when posting on social media so we can all share in your efforts and success.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Are you signing up as a volunteer, pod leader, or team captain?
*
(Pod leaders are responsible for leading 1 group of 7-10 people. Team captains are responsible for overseeing 2-3 pod leaders.)
Volunteer
Pod Leader
Team Captain
Mobile Phone Number
*
Your answer
Emergency Contact Name
*
Your answer
If there's a certain pod leader you'd like to be attached to, please note that here.
Your answer
Do you have one of the following you're able and willing to use on our volunteer day? (select all that apply)
Third Arm/Grabber (litter removal tool)
Weedeater
Truck
Trailer
Shovel
Are you completing this registration for your organization?
*
Yes
No
If yes: What is the organization's name? If no, "N/A"
*
Note: If you are completing this as an organization, please share this form with each of your volunteers in order for them to also complete the form.
Your answer
Do you agree to the terms and conditions on Parish Proud's waiver? Please type "Yes" and your full name below if you agree.
*
The waiver can be found here:
https://drive.google.com/file/d/1yY8HZxK87NZEqtencV08KLImOHI5M5-J/view?usp=sharing
Your answer
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms