Event and Supply Request Form
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Date of Next Cleanup (MM/DD/YYYY) *
MM
/
DD
/
YYYY
Group Name *
Point of Contact's Email *
Number of Volunteers *
Highway Location: (Highway Name, Route #, Mile Marker) *
Will you need Rubbish Bag Removal? *
If yes, our maintenance crew will take care of bag disposal for you. If no, please email stormwatermaui@gmail.com with the number of bags you disposed of.
Will minors be participating in the cleanup event? *
If yes, there will be a link to a release form for minors at the end of this form. Ensure all minors fill this form and submit to stormwatermaui@gmail.com.
Verify that all participants will watch the safety training video. *
Supply Request
No. of Medium Safety Vests Needed
(Only size Medium and Large vests available, please specify how many of each size you need. Due to the high cost of safety vests, please order only enough vests for cleanup day participants. Please have returning participants re-use issued vests.)
No. of Large Safety Vests Needed
(Only size Medium and Large vests available, please specify how many of each size you need. Due to the high cost of safety vests, please order only enough vests for cleanup day participants. Please have returning participants re-use issued vests.)
Pairs of Gloves Needed
No. of Trash Bags Needed
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