Glitter Bug Girls:  Keeping Neighborhoods Sparkling!
A Community Service Initiative by Charlotte, International United Miss Virginia Junior Preteen 2024
Sign in to Google to save your progress. Learn more
Email *
Name of person leading clean up: *
Name of grown up supervising if person above is a child:
If you're a pageant titleholder, please include your full title below. If not, you can leave this section blank!
What is the location where you will be conducting your clean up? Please include at least the city and state. *
Would you like us to mail you a Glitter Bug Girls Clean Up Kit?  *
Would you like us to mail you a certificate of completion once you've finished your clean up project? *
If you are having us mail you a clean up kit OR a certificate of completion, please include your FULL mailing address. *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report