Answers to fields and questions with an asterisk ( * ) are mandatory Organizer's Contact Information First Name: * Last Name: * Group/Organization Name: Primary Phone Number: * Address: Postal Code: Email Address * Event Details Please select the Type of Event * Team Up to Clean Up Great Canadian Shoreline Cleanup Neighbourhood Clean Team Other Other There will be high school students participating who wish to earn Community Involvement Activity Volunteer hours: * Yes No Date of Clean-Up Event: * Year Year20152016201720182019 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Start time of cleanup Hour Hour123456789101112 : Minute Minute00153045 am pm Area to Be Cleaned NOTE: Participants are encouraged NOT to clean up along highways and main roads. Participants who wish to clean up near creeks, waterfalls, ponds or other bodies of water must register through the Great Canadian Shoreline Cleanup program. Please pick up visible litter only. Large items, leaf and yard waste, or any item that can't fit in the special orange bags should be reported to 905 - 546 - CITY (2489) for appropriate disposal. Park Name or Street Address: Trail Name or Location of Trail Head: Neighbourhood Name or Streets: Private Property Address or Description of Location: (Note you must have the property owner's permission) Special Notes About Location(s): How many people will take part in your clean-up: * Cleanup Supplies For individuals or groups of less than 20 people, we provide the following per person (subject to availability): one pair of work gloves, one orange bag for litter, one clear bag for recyclable bottles and cans and one graffiti wipe if requested. For groups of 21 to 100 people, we provide the following (subject to availability): one pair of work gloves per person, one orange litter bag per pair of people, one clear bag for recyclable bottles and cans for every four people and one pack (20) of graffiti wipes if requested. For groups of 101 or more people: Please contact us at 905-546-CITY (2489) or clean&green@hamilton.ca to make special arrangements. Will your group be cleaning off graffiti? * Yes No Will you supply your own gloves? * Yes No I will pickup my supplies at: * - Select -Bennetto Community Centre - 450 Hughson St. N.Ancaster Municipal Service Centre - 300 Wilson Street East, AncasterDundas Municipal Service Centre - 60 Main Street, DundasFlamborough Municipal Service Centre - 163 Dundas Street EastGlanbrook Municipal Service Centre - 4280 Binbrook Road, BinbrookStoney Creek Municipal Service Centre - 777 Highway #8, Stoney Creek Your supplies will be ready for pickup one week prior to your event at the location you indicated. Check the hours of operation for times.Municipal Service Centre Hours : Monday to Friday, 8:30 a.m. to 4:30 p.m. (excluding statutory holidays) Bennetto Community Centre hours : Monday to Friday 10:00am - 8:30pm, Saturdays 9:30am - 4:00pm Disposal Options Recycling: Please take all recyclable materials (glass/plastic bottles and cans) home with you and put them in your blue box.Orange litter bags: For small numbers of bags of litter collected, please bring them home and put them at the curb on your regular garbage collection day. The special orange bags will be exempt from the one bag limit provided they only contain materials from your litter pickup event.Large items: If you find large quantities of material (illegal dumping), or encounter large items, please report them to 905 546-CITY (2489). I/We will take the bags home and put them out with my garbage * Yes No I/We leave the orange bags of litter at the following location for pick This location must be at the roadside or accessible to a truck up Date modifiedd: 2016-10-24
