Event Registration: Ukiah Valley Community and Creek Cleanup September 26, 2020

Help us keep litter off our streets and out of our creeks, river and ocean!

COVID has created more litter than ever! Help us clean the Upper Russian River, its tributaries and dry land areas to keep trash out of the waterways. This year's event has been modified to keep everyone COVID-safe and we will be cleaning as individuals or in established COVID bubbles only. Volunteers will be given a designated place to clean and a pre-arranged time to pick up cleanup supplies. All participants must agree to watch a pre-recorded safety video and wear a mask and gloves at all times during the cleanup. The event is co-sponsored by the Mendocino County Resource Conservation District, Mendocino County Water Agency, City of Ukiah, and MendoRecycle. SIgn up below. We hope you will join us for this important event!

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* 1. Name

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* 2. Address

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* 3. Email

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* 4. Phone # for last minute texts

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* 5. Age

Under 18 (minors will need to have their liability form signed by a parent or guardian)

18-24

25-34

35-44

45-54

55-64

65+

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* 6. Do you have any physical conditions or requests that would affect the area you are assigned to clean? If so, please explain.

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* 7. Do you have a preferred check in time between 8:30 AM and 1 PM? We will try to accommodate you if we can.

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* 8. Names of others in your COVID bubble working with you on the cleanup. (Please note! Each member of your bubble will need to fill in this questionnaire separately.)

Name #1

Name #2

Name #3

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* 9. This cleanup is different than previous cleanups because of concern about the spread of COVID-19. I understand that I need to abide by additional safety considerations, including:
1) wearing a mask and gloves during the cleanup,
2) working only with people in my pre-existing COVID bubble,
3) staying more than 6 feet from those outside my bubble during the event,
4) signing a liability waiver that includes stating that I have no COVID symptoms, and
5) watching the safety video before the event.

Yes

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* 10. Thank you for your interest in keeping Ukiah Valley and its water sources clean! We will contact you soon with a link to the safety video and the liability form. Please contact Deborah Edelman at deborah.edelman@mcrcd.org with questions. We look forward to seeing you on September 26!