Event and Supply Request Form
Sign in to Google to save your progress. Learn more
Email *
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 Small Safety Vests Needed
(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 Medium Safety Vests Needed
(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
(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
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms