Cleanup Reporting Forms

Question Title

1. Please share your contact information

Name

Company

Email Address

Phone Number

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2. Cleanup Site Name or Address

Name of Site

ZIP/Postal Code

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3. Type of Environment

Saltwater (Ocean/Bay/Estuary)

Freshwater (Canal/Lake)

Inland (Park/Street)

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4. Date of Cleanup

Date / Time

Date

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5. Number of Volunteers

Adults

12-18 years old

Under 12 years old

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6. Most unusual item collected

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7. Cleanup Summary

Number of Trash Bags Filled

Estimated Weight of Trash Collected

Distance Cleaned (miles)

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8. Fishing and Boating

Line, nets, traps, rope, etc.

Foam dock pieces.

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9. Illegal Dumping

Appliances

Construction materials

Tires

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10. Dead/Injured Animals

Type of animal

Dead/Injured

Entangled (yes/no)

Type of entanglement item

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11. Please share photos of your volunteers, the site location, and litter collected! Photos may be used on KCB's social media, reports to Collier County, and future marketing materials for KCB Cleanup events.

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12. Please share photos of your volunteers, the site location, and litter collected! Photos may be used on KCB's social media, reports to Collier County, and future marketing materials for KCB Cleanup events.

Question Title

13. Please share photos of your volunteers, the site location, and litter collected! Photos may be used on KCB's social media, reports to Collier County, and future marketing materials for KCB Cleanup events.

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14. Please share photos of your volunteers, the site location, and litter collected! Photos may be used on KCB's social media, reports to Collier County, and future marketing materials for KCB Cleanup events.

Cleanup Reporting Forms

Question Title

* 1. Please share your contact information

Question Title

* 2. Cleanup Site Name or Address

Question Title

* 3. Type of Environment

Question Title

* 4. Date of Cleanup

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* 5. Number of Volunteers

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* 6. Most unusual item collected

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* 7. Cleanup Summary

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* 8. Fishing and Boating

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* 9. Illegal Dumping

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* 10. Dead/Injured Animals

Question Title

* 11. Please share photos of your volunteers, the site location, and litter collected! Photos may be used on KCB's social media, reports to Collier County, and future marketing materials for KCB Cleanup events.

Question Title

* 12. Please share photos of your volunteers, the site location, and litter collected! Photos may be used on KCB's social media, reports to Collier County, and future marketing materials for KCB Cleanup events.

Question Title

* 13. Please share photos of your volunteers, the site location, and litter collected! Photos may be used on KCB's social media, reports to Collier County, and future marketing materials for KCB Cleanup events.

Question Title

* 14. Please share photos of your volunteers, the site location, and litter collected! Photos may be used on KCB's social media, reports to Collier County, and future marketing materials for KCB Cleanup events.

1. Please share your contact information

2. Cleanup Site Name or Address

3. Type of Environment

4. Date of Cleanup

5. Number of Volunteers

6. Most unusual item collected

7. Cleanup Summary

8. Fishing and Boating

9. Illegal Dumping

10. Dead/Injured Animals

11. Please share photos of your volunteers, the site location, and litter collected! Photos may be used on KCB's social media, reports to Collier County, and future marketing materials for KCB Cleanup events.

12. Please share photos of your volunteers, the site location, and litter collected! Photos may be used on KCB's social media, reports to Collier County, and future marketing materials for KCB Cleanup events.

13. Please share photos of your volunteers, the site location, and litter collected! Photos may be used on KCB's social media, reports to Collier County, and future marketing materials for KCB Cleanup events.

14. Please share photos of your volunteers, the site location, and litter collected! Photos may be used on KCB's social media, reports to Collier County, and future marketing materials for KCB Cleanup events.