Litter Cleanup Supply Request

Litter Cleanup Supply Request

I am voluntarily participating in a volunteer-led cleanup and accept all risks of participation*

Click on link to view the Liability Agreement.

Volunteer Name*

Email Address*

Phone Number*

Phone

Date of Cleanup*

Cleanup Location

Where do you plan to lead your litter pickup? Don't have a specific location in mind? Reach out to us: kfwb@fortworthtexas.gov / 817-392-2046

Is this a waterway cleanup?

If you are cleaning along a shoreline or by kayak, we can provide specialized supplies. Check this box if you need waterway supplies.

Volunteers Over Age 10*

This is used to determine glove sizes and the number of bags provided. ENTER NUMBER ONLY

Volunteers Age 10 and Under*

This is used to determine glove sizes and the number of bags provided. If there are no youth volunteers, enter "0".

We will provide one pair of gloves for each volunteer.

Let us know what glove size(s) you need for your volunteers.

Pairs of Small gloves*

Leave as 0 if not required.

Pairs of Medium gloves*

Leave as 0 if not required.

Pairs of Large gloves*

Leave as 0 if not required.

Pairs of X-Large gloves*

Leave as 0 if not required.

Send me a copy of my responses