Community Cleanup Registration

Brock Trail (Perth Street)

"*" indicates required fields

This field is for validation purposes and should be left unchanged.

Complete this form to register yourself and/or your team to clean this location.

Name*

First Last

Email*

Enter Email Confirm Email

Phone

How many people in your group*

Name of Group

Number of pairs of gloves requested*

Number of garbage bags requested*

Number of recycling bags requested*

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