Earth Day Cleanup Sign Up Form

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Email naearthday2021@gmail.com with any questions or concerns! Please fill out separate forms for each participating individual.

Full Name *

Email *

Phone Number *

Organization (if applicable)

NAI Key Club

NASH Key Club

National Honor Society

Social Justice Club (If in Key Club or NHS, select that instead)

Other:

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Where will you be cleaning up (i.e. your neighborhood, public spaces, etc.)? - if possible, give specific locations such as road/park names *

In what time frame do you plan on volunteering (i.e. 3-4)? *

You are available on April 22nd, 2021 to clean up the area(s) that you have listed above and will reach out to naearthday2021@gmail.com if you are no longer able to volunteer. *

Yes

How did you find out about this event? *

Relation to NA *

Student

Teacher/Other Staff

Alumni

Parent

Community Member

Other:

Building (if applicable) - if in NACA, select the building you would normally attend *

Not a current student or teacher

HES

BWE

FES

PES

IES

MCK

MES

IMS

MMS

CMS

NAI

NASH

Other:

Any questions or concerns? If so, we'll reach out to you via email with our answer as soon as possible.

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