INTERNATIONAL COASTAL CLEANUP September 19, 2015 Site Coordinator Registration Form

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Alexia Moody
5 years ago
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The International Coastal Cleanup (ICC) is a global initiative led by The Ocean Conservancy. This cleanup event has taken place across the globe for the past 30 years.

1 The International Coastal Cleanup (ICC) is a global initiative led by The Ocean Conservancy. This cleanup event has taken place across the globe for the past 30 years. Last year, 684,015 volunteers joined the cleanup effort; nearly 2,000 in Lee County! This cleanup event is scheduled for Saturday, September 19 th, The Coastal Cleanup is the only cleanup where trash is collected and recorded. The data cards are then sent to the Ocean Conservancy where the information is used in the development of new environmental protection acts and change the behaviors that cause marine debris in the first place. The data cards are designed to have groups of 4 working together, 3 to collect litter and debris and 1 to record the findings. Latex gloves will be provided, however some of the marine debris will be rough so please feel free to bring work gloves. The 2 goals of the cleanup are to remove unsightly and environmentally harmful debris from Florida's coastlines and raise awareness about this preventable litter problem. Litter poses a threat to wildlife - plastic bags are mistaken for jellyfish and eaten by sea turtles. Lost and discarded fishing tackle is eaten by birds and becomes an entangling death trap to many types of animal life. The first 1,000 volunteers, who pre-register, will receive a free T-shirt. Cleanup volunteers are provided with garbage bags and gloves. Safety vests, litter sticks and additional supplies are available by request. In an effort to reduce the number of plastic bottles introduced into our waste stream, we recommend volunteers bring reusable water bottles. All dumpster and beautification requests must be submitted in writing, and include a map, to the KLCB office no later than 2 weeks BEFORE your requested cleanup date to be considered for the ICC. This cleanup is a county wide effort, focused on our shorelines and waterways. Volunteers are encouraged to choose a location in their local community to help clean and beautify! Lakes, rivers, canals, and shorelines are great locations for volunteers to participate in the International Coastal Cleanup. Volunteers may also join in one of our community coordinated cleanups. This is a great opportunity for students to earn community service hours! Community Coordinated Locations: Bonita Springs (check in at Lover's Key Event Field) Bunche Beach Cape Coral - Horton Park Fort Myers Beach Elementary School

2 Please make sure to fill this form out completely. Supplies are on a FIRST COME FIRST SERVE BASIS Organization/Group: Contact Name: Contact Phone: (We will be using your to add you to our Contact Database. This is used by KLCB, Inc. for cleanup and event information distribution only) Location of Event: Time of Event: to Estimated number of volunteers to participate in event: Dumpster Request: Yes No Purpose (We do not provide dumpster for horticultural materials) All dumpster requests must be submitted in writing, and include a map, for review and approval no later than 2 weeks before their requested cleanup date. If approved, requestor will be required to sign a KLCB Dumpster/Rolloff agreement. Request must state location for dumpster placement and must have approval by property owner for placement. Only one T-shirt per volunteer. These are limited supplies and are not promised. KLCB, Inc. will do its best to provide you with all supplies requested. Supplies Requested ITEM Trash Bags Safety vests (need to be worn when working on roadside 1 per 3 volunteers) Gloves (1 glove per volunteer unless request is for additional) Water** If available (please encourage volunteers to bring reusable bottles) *Beautification Tools (rakes, shovels, litter sticks) Please specify Additional Items (please list) # Requested *Items must be returned to the KLCB office no later than 1 week from cleanup completion date These are limited supplies intended for borrowing purposes only. T-shirt Request Small Medium Large X-Large Total: Please return any unused items to the KLCB office. KLCB is a non-profit organization with limited resources.

3 Thank you for partnering with Keep Lee County Beautiful, Inc. (KLCB) to help clean up our waterways. To ensure that your cleanup efforts are successful, please take the time to read and understand your responsibilities within this agreement. Keep Lee County Beautiful will provide with number of roll off dumpster(s) for casual litter and debris removal services on the date(s) of for the purpose of waterway cleanup in the community. All requests to deliver and remove the project dumpster(s) must be made through your KLCB contact directly. Please do not ask the driver for extensions of time or special pick up requests. No tires, paints, batteries, household chemicals, vehicular fluids or electronics should be placed in the project dumpster. These items are not permitted at the Waste to Energy (WTE) Facility. If these items are found in the dumpster when it is transported to the WTE facility, will be responsible for any additional charges imposed by the WTE for the disposal of the above named items. Please make sure ALL members of your group understand what items cannot be placed in the project dumpster. Project Address: (include a copy of written permission from the property owner and include a map with placement directions) Again, thank you for your efforts to help Keep Lee County Beautiful! Neighborhood/Community/Organization Requesting Dumpster Service Contact Name (print) Phone Signature Neighborhood Representative Date Keep Lee County Beautiful Representative Trish Fancher Date

4 Volunteer Safety Waiver & Photo Release The Volunteer understands that he/she is engaging in activities that may expose him/her to dangers both from known risks and unanticipated risks. By signing this from the Volunteer discharges and holds harmless the Board of Directors, Keep Lee County Beautiful, Inc., officers, servants, agents or employees (hereinafter referred to as RELEASEES) from any and all liability, claims, losses, suits, damages, and demands of whatever kind or nature arising or resulting from property damage, bodily or personal injury and/or death that may be caused by Keep Lee County Beautiful, Inc. s negligence or otherwise. By signing this form the Volunteer also understands that Keep Lee County Beautiful, Inc., its partners, and affiliates may use all photographic images, video or audio recordings, video or audio reproductions, films, radio or television broadcasts and any other reproductions of the activities without limitations. Permission is granted for use in any medium now known or hereafter developed, including printed media, video, still photography and the Internet. Date: Location of Event: Name of Volunteer Address & Phone Number Signature (parent signature if volunteer under 18)

5 WRAP-UP REPORT Please submit your wrap-up report on time. It is very important for reporting purposes. Organization/Community Group Date of Event Contact Person Phone Address Event Information Number of Volunteers Number of bags of litter collected # of hours project took to # of bags of recyclables collected complete # of flowers or shrubs planted # of appliances collected # of trees planted # of furniture items collected # of tires collected Please check all that apply: Roadside Cleanup Railroad Cleanup Waterway Cleanup School/Campus Cleanup Church Cleanup Park Cleanup Other Approximately hoe many Miles of Cleanup Description of project/location: Please fill out WRAP-UP report and mail back to Keep Lee County Beautiful, Inc. Please include any pictures of your event no later than October 1 st.

Burleson's Great American Cleanup / Don't Mess with Texas Trash-Off

LITTER CLEANUP Burleson's Great American Cleanup / Don't Mess with Texas Trash-Off Burleson's Great American Cleanup / Don't Mess with Texas Trash-Off event is here! Cleanup activities will run from 9:00