Clean Up Month 2023 Registration

It is with pleasure that Friends of Rivers, Peel, Mandurah Environment and Heritage Group and the Peel-Harvey Catchment Council invite you to participate in the annual Clean-Up effort during the month of March 2023.

Clean Up Month for 2023 will be promoted via social media, email and other local media, please provide your community group details below. This information will be included in the promotional advertisements to ensure community members are able to contact the appropriate people in their area to take part in the clean-up events.

Please remember to register your site with Clean Up Australia as soon as possible - https://www.cleanup.org.au/create-a-clean-up,

This is a very important and necessary step for you event as Clean Up Australia will provide public liability insurance and equipment.

Make sure your site is safe and accessible and that you have a plan to dispose of the rubbish after the event (please contact the relevant local government to arrange this).

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* 1. Community Group/ Organisation Name

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* 2. Contact Person

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* 3. Mobile Number

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* 4. Email Address

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* 5. Event Address

Address of Event

Meeting Point Address

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* 6. Date and Time of Event

Date / Start Time:

Date

Time

AM/PM

End time:

Date

Time

AM/PM

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* 7. Is your event open or closed?

Yes, open to the community.

No, closed to members only.

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* 8. Do you consent to publishing your contact details in promotional advertisements?

Yes, email address only.

Yes, phone number only.

Yes, both email and phone number.

No.

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* 9. Brief summary (1-2 sentences max) for newspaper ad
EXAMPLE: Friends of Rivers Peel invite volunteers to clean up the Serpentine and Murray river mouth areas on foot or by boat, post clean up lunch provided. RSVP essential.

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* 10. Would you like PHCC to create a Facebook event for your clean up event?

Note: if you select yes and have a Facebook page for your group/ organisation, we will add your Facebook page as a co-host for the event which allows your page to share the event and make changes if need be.

Yes please

No thank you

Yes, and please add my page as a co-host

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* 11. Mandurah Environment and Heritage Group are kindly able to supply free Dudley Dolphin Kids activity books and the borrowing of their Dudley Dolphin Costume (subject to availability). Please indicate if you:

Would like to be supplied with free Dudley Dolphin Kids activity books

Are interested in borrowing Dudley Dolphin and can provide a volunteer to wear the costume

Are interested in borrowing Dudley Dolphin and would need someone to wear the costume

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* 12. Have you registered your event with Clean Up Australia?

Yes.

No.

Clean Up Month 2023 Registration

Question Title

* 1. Community Group/ Organisation Name

Question Title

* 2. Contact Person

Question Title

* 3. Mobile Number

Question Title

* 4. Email Address

Question Title

* 5. Event Address

Question Title

* 6. Date and Time of Event

Question Title

* 7. Is your event open or closed?

Question Title

* 8. Do you consent to publishing your contact details in promotional advertisements?

Question Title

* 9. Brief summary (1-2 sentences max) for newspaper adEXAMPLE: Friends of Rivers Peel invite volunteers to clean up the Serpentine and Murray river mouth areas on foot or by boat, post clean up lunch provided. RSVP essential.

Question Title

* 10. Would you like PHCC to create a Facebook event for your clean up event? Note: if you select yes and have a Facebook page for your group/ organisation, we will add your Facebook page as a co-host for the event which allows your page to share the event and make changes if need be.

Question Title

* 11. Mandurah Environment and Heritage Group are kindly able to supply free Dudley Dolphin Kids activity books and the borrowing of their Dudley Dolphin Costume (subject to availability). Please indicate if you:

Question Title

* 12. Have you registered your event with Clean Up Australia?

* 9. Brief summary (1-2 sentences max) for newspaper ad
EXAMPLE: Friends of Rivers Peel invite volunteers to clean up the Serpentine and Murray river mouth areas on foot or by boat, post clean up lunch provided. RSVP essential.

* 10. Would you like PHCC to create a Facebook event for your clean up event?

Note: if you select yes and have a Facebook page for your group/ organisation, we will add your Facebook page as a co-host for the event which allows your page to share the event and make changes if need be.