Great American Cleanup Registration Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please read the following instructions carefully:

1) Please register events at least four to six weeks in advance to allow us time to properly promote your event and provide our support. (This is especially important during the months of April-May and September-October as we are very busy.)

2) Your cleanup event must take place between March 1st and November 30th.

3) Please fill out a separate registration form for each event UNLESS you are planning a recurring event in the same location (such as a monthly litter pickup or quarterly cleanup). In that case, you may use one registration form.

4) You must be affiliated with or supported by a local City government, community council, school, nonprofit, or similar agency. If you need help finding an organization to partner with, please contact Emily Bottoni at (513) 352-4517 or via email at Emily@KeepCincinnatiBeautiful.org.

5) Please fill out as much information as you can and BE SPECIFIC.

6) You will not be able to save this form and return to it later. So make sure you have all of the details of your event in place before you register. If you're prepared, it should take just 5-10 minutes to complete!

7) By registering your event and receiving support from Keep Cincinnati Beautiful, you are agreeing to report results from your cleanup to KCB less than one week following the date of your event.

QUESTIONS? Please don't hesitate to contact us!

Call Emily at (513) 352-4517 or e-mail Emily@keepcincinnatibeautiful.org

Your Name *

Community *

Examples: Northside, Avondale, Springfield Township

Community Group *

Examples: Citizens on Patrol, Spring in Our Steps, Community Council

Is this cleanup a part of the Don't Trash the 'Nati Community Contest? *

Yes

If yes, please list the registered neighborhood organization that you are partnered with. If no, write N/A. *

Email Address *

Please choose an email address that is reliable and checked on a regular basis.

Would You Like to Receive our Monthly e-Newsletter? *

Our "Clean and Green Bulletin" is packed with the latest news on community improvement and opportunities for you to get involved in making Cincinnati a better place to live!

Yes

I'm Already Signed Up!

Required

Phone Number *

PLEASE USE THIS FORMAT: (513) 555-5555

Preferred Contact Method *

In other words, how would you like us to communicate with you?

Call Me

Text

Other:

Cleanup Leaders

Please list the FULL NAME and PHONE NUMBER of other organizers in case we cannot contact you.

Type of Event *

Clear form

Never submit passwords through Google Forms.

This form was created inside of Keep Cincinnati Beautiful. Report Abuse

Forms