Bicentennial Park

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

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

First Name*

Last Name*

Email Address*

Phone

How many people are in your cleanup group?*

Group Name:

Pairs of gloves requested:

0123456789101112131415+

Number of garbage bags requested:

0123456789101112131415+

Number of recycling bags requested:

0123456789101112131415+

Enter the code displayed*