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Schoolyard Cleanup Program

Register your school as a Schoolyard Cleanup Site!

1. Your email address *This question is required. This question requires a valid email address.

2. Your name *This question is required.

3. Your role

Please enter an 'other' value for this selection.

4. School/Organization Name *This question is required.

5. School/Organization City *This question is required.

6. Number of students expected to participate *This question is required. This question requires a valid number format.

7. Grade(s) of students participating

8. Planned date(s) of cleanup(s) *This question is required.

9. Would you like to receive a certificate of participation for the Schoolyard Cleanup Program? If yes, please write the name you would like on the certificate (e.g. Mrs. Wong's 3rd Grade Class, or Main Street Elementary, or Troop 100...)

10. Do you need disposable gloves from us? (Visit the "Doing Your Cleanup" page for ideas on how to avoid disposables.)

11. Do you need large plastic bags mailed to you? (Visit the "Doing Your Cleanup" page for alternatives to disposable bags, https://www.coastal.ca.gov/publiced/schoolyard/doingyourcleanup.html)

12. Would you like data cards mailed to you? (Visit the "Doing Your Cleanup" page to print them yourself.)

13. If yes, quantity of data cards in English needed. This question requires a valid number format.

13. If yes, quantity of data cards in Spanish needed. This question requires a valid number format.

13. How did you hear about this program?

14. Complete mailing address, if you need supplies mailed to you. (Please note whether this is home or school.)

15. Questions/Comments