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Clean Drains 2026 Registration
Thank you for registering to be a Drain Stormer with Clean Drains Fort Wayne! By cleaning your neighborhood drains, you're ensuring our rivers are clean and healthy. For program updates, please visit
CleanDrainsintheFort.org
!
*
1.
Which describes you best?
(Required.)
Homeowner/Neighborhood
Business
Student
*
2.
Please name which business, neighborhood or school you are representing.
(Required.)
*
3.
Contact Information
(Required.)
First Name
Last Name
Address
Phone Number
Email Address
*
4.
Please note:
One kit can clean 12 drains (12 medallions to mark storm drains after cleaning).
How many kits are you requesting?
The kit includes:
trash bags, cleaning brushes,
12 Clean Drain medallions
, adhesive glue, cleaning gloves and FREE t-shirts for your team members.
(Required.)
Every kit comes with FREE t-shirts for your cleaning team. Let us know how many t-shirts are needed for your team in the comment boxes below!
5.
Adult Sizes
Small
Medium
Large
XL
2XL
3XL
6.
Youth Sizes
Small
Medium
Large
You will receive an email regarding instructions for your kit pick-up in the following weeks, along with instructions on how to register the drains you cleaned within your neighborhood. If you have any questions in the meantime, please email
CleanDrains@CityofFortWayne.org!
*
7.
Waiver & Consent:
By checking this box, you acknowledge and agree you are participating in the Clean Drains Program on a voluntary basis and your participation may involve risks inherent to the activities being undertaken in connection with the Clean Drains Program. You acknowledge that you are knowingly and willingly accept such risks and that the City of Fort Wayne shall have no liability related to your participation in the Clean Drains Program whatsoever. You agree to release, discharge, and hold harmless the City of Fort Wayne and each of its respective employees, agents and Representatives of and from all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating to your participation in the Clean Drains Program, whether as a result of a bodily injury, property damage, or death. You further acknowledge that this release includes any claims, actions, damages, costs or expenses based on the actions, omissions, or negligence of the City of Fort Wayne and each of its respective employees, agents, and Representative's.
(Required.)
By checking this box, you acknowledge and agree with the statement.
