Cleanup Donation Request Form
We are excited to continue spreading the Keep Nature Wild® mission and finding new ways to support YOU and your actions to inspire others, build community, and pick up trash outside! If you’re planning a cleanup, you can request a donation of cleanup supplies from us.

Submit your request at least one week in advance to allow for processing and shipping. Supplies are limited and granted on a first-come, first-served basis, so early requests are encouraged.
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Email *
What is your name? *
What type of organization are you from? *
What is the name of your organization? *
Please provide a link to your website and/or social for your organization *
What are you wanting to request? *
Required
Please tell us about the event you are hosting *
Is this event open to the public or invite-only (private)?
> Either answer is fine! This just helps us know whether to list it on the Join A Cleanup page on our website. *
Public event link (URL) — Facebook, Eventbrite, or your website
How many attendees/volunteers are you planning for? (e.g., 25)
A ballpark number is fine. *
What is the date of your event? *
MM
/
DD
/
YYYY
Are you willing to log the pounds of trash picked up at your event to the Keep Nature Wild Impact Form? *
See the Impact Form here:
https://keepnaturewild.com/pages/impact-form
Are you willing to share photos with us that we can share with the KNW community? *
I agree that Keep Nature Wild provides supplies and promotional support for cleanup events but is not liable for any incidents, injuries, damages, or other liabilities. I accept full responsibility for participant safety, event organization, and compliance with local laws and regulations. *
Required
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