River Clean Up Volunteer Form - Sunbury's Revitalization Inc.

Name*

First Last

Are you a minor (under 18 years old)?*

Yes
No

All minors will need to have a liability formed signed by their parent/legal guardian prior to the event. Please print the form below, fill out and return to the SRI office prior to the event.

Phone Number*

E-Mail Address*

Activities You Are Interested In Helping With

Planning - Attending Meetings Prior to Clean Up
Land Only Clean Up
Island Clean Up*
Boating Clean Up (Must Supply Your Own Boat)
Shuttling Volunteers
Being A Team Leader
Day Of Set Up & Tear Down
Other (Please Specify In Comment Section)

*Consent*

I agree to the Island Clean Up Time Commitment

By choosing Island Clean Up you are committing to being there from 9am-Noon. Once you are taken to an island to clean you will not be brought back to shore until the end of the clean up.

Comments

Team Section

Teams are no larger than 6 people per group. If you do not have a team/team leader that's ok! We will form teams in groups based on number of volunteers and team leaders available!

Will You Be Bringing A Team?*

Yes
No

Team Leader First & Last Name*

Team Leaders will need to attend one committee meeting the week before the clean up to discuss roles and responsibilities. Date & time to be determined.

Team Leader Email*

Team Leader Phone

Team Member 1

First Last

Team Member 1 E-Mail

Team Member 2

First Last

Team Member 2 E-Mail

Team Member 3

First Last

Team Member 3 E-Mail

Team Member 4

First Last

Team Member 4 E-Mail

Team Member 5

First Last

Team Member 5 E-Mail

Team Member 6

First Last

Team Member 6 E-Mail

Boaters

If you own a bass boat and are willing to donate your boat and time to our clean up please fill out the information below. Someone from the River Clean Up Committee will contact you to discuss further. THANK YOU!

Do You Have A Boat We Can Use During The Clean Up?

Yes
No

Name

First Last

Phone

Email