Countywide Patch Request Form
We have a limited supplies of patches, so orders are not guaranteed. Our patches are a first-come-first-serve basis. Please submit the request ASAP to help reserve your patches. This form is checked for Creek to Bay patches from April to May and for Coastal Cleanup Day patches from September to October. If you submit after those months you might not receive your patches. 
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Email *
Full Name: *
Number of Patches: *
Please note: We have a limited amount of patches and it is first come, first serve.
Select Pick-Up Day: 
Our office is located at 5797 Chesapeake Court Suite 200 San Diego, CA 92123.

Patches will be available for pick up starting May 16th (Wednesday).
*
If wanting to get your patches shipped directly to you, please enter your full mailing address below.

Patches will be mailed out mid October for Coastal Cleanup Day and mid May for Creek to Bay.
*ONLY Mailing Addresses Entered With the Full and Correct Information will be accepted. Including: Street Number, Street Name, City, State, Zip Code.
Thank you for your support and participation in our countywide event. Your donation helps sustain San Diego County's largest environmental cleanup honoring Earth Day! Since its inception, volunteers have removed 3 million pounds of litter around the region through this event alone. Donate to support the future of our Scout Patch program:
A copy of your responses will be emailed to the address you provided.
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