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Plastic Punch Ambassador Registration Form
This form is to gather data on volunteers to become community leaders to coordinate monthly beach cleanups and environmental awareness activities in their locality. 
Email *
Name *
Email *
Age *
Gender *
What is the name of your community ?  *
Type of Clean-up *
How many people in your community can you mobilize for a river / beach cleanup and other environmental actions to spread awareness ? *
Which District/Municipality is your community? *
Who is the Waste Management service provider in your community? *
How is the waste management situation in your community? *
Have you ever volunteered for or participated in Plastic Punch Beach Cleanup / other activities? *
How many beach clean-ups or activities of Plastic Punch have you participated in? *
How did you hear about the "#EverDayisEarthday" campaign *
Tell us about your Community and your Motivation to lead your community by increasing awareness towards sustainable lifestyles.  *
All selected participants will have a short training on the Plastic Punch Citizen Science approach and how to use awareness tools and cleaning materials. *
Thank you for signing up; Do you have any suggestions for us?
A copy of your responses will be emailed to .
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