School Registration Form

Great American Cleanup of Broward County 2008

School Information

School Name:      

Group Name:    

Teacher/Contact Name:      

Daytime Phone (eg; 111-111-1111):      

E-mail (eg; user_name@your_domain.com):    

School Address: (For event supplies and giveaway deliveries)  

Cleanup Event Information

Preferred Event Date (eg; MM/DD/YYYY):    

Approx. Number of Volunteers:    

Event Time (eg; 00:00am/pm):      

Is your school interested in a Litter Prevention Waste Reduction Education Presentation ?

Yes, we would like staff to call us to coordinate a presentation in conjunction with our cleanup!

No, not at this time.

For questions about this form or the Great American Cleanup of Broward County, please contact our Litter Hotline at 954-474-1835.