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Special Beach (Coastal) Cleanup Volunteer Registration
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The Plan : Sites : Special Beach Clean Up Home

Individuals interested in volunteering for this special beach litter and marine debris cleanup can pre-register by completing this registration form. We will need your help!

You must register individually. If you would like to participate in the Special Beach Clean Up as a group, each member of your group must register individually and then you can report to duty as a group.

Please Note!
When you pre-register for this Special Beach (Coastal) Cleanup you will be recieving a registration number and other important information that you will need to participate in this effort. You will receive this informaiton via email from "kpbvol@aol.com" please adjust your email spam and security settings to ensure that you receive these emails. If you do not receive a confirmation email within 24 hours of submitting this form, please contact us via telephone at: (727) 533-0402.

Full Name *
Age *
(no one under 14 without an adult)
Teen
Adult
Phone Number *
E-mail Address: *
Zip Code *
Availability * Anytime
Weekends Only
Other
If other, please explain
Do you have one of the following Canoe
Kayak

* Required
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