Community Cleanup Application

Contact Name

Organization (if applicable)

Phone

Address (optional – for mail out appreciation)

Number of participants – Children

Number of Participants – Adults

Do you need large disposal bins?

Please note that if you do require big bins, we will require two weeks notice to ensure the bins are available. Big Bins do not accept the following materials: tires, liquids, unsolidified paint, asbestos, e-waste (computer monitors, TVs, etc), batteries, ammunition, radioactive, pressurized, volatile, highly flammable, toxic, hazardous or infectious materials.

Which area(s) will the group clean up?

Date(s) when the group will be cleaning up

Is garbage pickup required?

If you answered yes, please contact Community Services to arrange a date and pick up location.

Name

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

Community Cleanup Application