Community Cleanup Application Contact Name Organization (if applicable) PhoneEmail Address (optional – for mail out appreciation) Number of participants – ChildrenNumber of Participants – AdultsDo 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.Consent(Required) I agree to the privacy policy.The personal information you provide will be used to register for the Community Clean-Up program and is collected under the authority of Section 33(c) of the Freedom of Information and Protection of Privacy Act. If you have any questions about the collection and use of this information, please contact the Sturgeon County Access and Privacy Officer at 9613 – 100 Street, Morinville, Alberta, T8R 1L9 (780) 939.4321 or foip@sturgeoncounty.caCommentsThis field is for validation purposes and should be left unchanged.