2018-19 TPWD River Access Project Supply Request

Thank you for participating in the TPWD River Access Cleanup Program.
Please complete the form below.

First Name

Last Name

Phone

Shipping Address

Street 1

We cannot ship to PO Boxes.

Street 2

City

State

Zip

Name of KTB affiliate, or other organization

Alternate Contact First Name

Alternate Contact Last Name

Alternate Contact Email

Alternate Contact Phone

CLEANUP INFORMATION:

Date of Cleanup Event

Requests must be made 3 weeks prior to event to ensure timely shipment.

RACA Site

What type(s) of clean up is this?

ShorelineOn Water (boat, canoe, kayak, etc.)UnderwaterOther

Total number of volunteers expected

Number of volunteers under the age of 18 expected

SUPPLY REQUEST:

KTB will send you a cleanup kit which includes the following items:

Trash bags
Recycle bags
Onion bags
Gloves
Sunscreen
Bug Repellent
Ivy X

Materials are available on a first come, first served basis and items sent will be based on the number of volunteers expected. You may wish to supplement with additional materials.

# trash bags needed

Would you like recycle bags?

YesNo

# onion bags needed (please order in quantities of 10)

# Nitrile gloves needed (each, not pair)

# Word gloves needed (each, not pair)

# sunscreen bottles (1 oz)

# bug repellent (6 oz)

How did you hear about the TPWD River Access Cleanup Program?

KTB eNewsKeep America BeautifulTexas Parks and Wildlife DepartmentOther

2018-2019 SOCIAL MEDIA CRITERIA:Keep Texas Beautiful strongly encourages the use of social media and pictures to promote your RACA events and sponsor TPWD. Recipients of supplies should post:Use the KTWC yard sign included with your supplies at your event to identify the cleanup project.Use the social media sign included with your supplies and post photos to Facebook and/or Twitter, tagging the following and including the hashtag #KTWCKeep Texas Beautiful - @keeptxbeautifulTexas Parks and Wildlife Department - @TPWD

By checking the box below, you are agreeing to submit a WRAP UP REPORT no later than TWO WEEKS after this event. The online wrap up report must be completed to ensure that future requests for supplies can be fulfilled.

I Understand

Contact Information