Great American Cleanup Registration 2021

Time frame of your community GAC activity (eligible dates include anything March 1 - June 30, 2021)

Other (Please specify)

Email

Phone

Name of KTB affiliate, or other organization

If you are not an affiliate, please select Other from the drop-down menu to type in your organization.

Other Organization

Alternate Contact Email

By checking the box below, you agree that you understand and will follow these guidelines: At this time, KTB is promoting cleanups for individuals, members of the same household or small groups (size dependent on your local government guidelines). Please follow all local, county, and state guidance. KTB reminds Texans to stay safe when choosing to go outside and clean up your communities.

When picking up litter, KTB recommends participants to do so responsibly and at their comfort level. Please have participants wear a face mask and disposable gloves, and use a litter grabber (when available). Maintain at least 6 feet of distance from passersby and those not from your immediate household.

When participants are finished collecting litter, please make sure their trash bags are securely tied to protect sanitation workers. Advise them to immediately wash their hands with soap and water and hand sanitizer after collecting litter. Please have them dispose of their single-use face masks and disposable gloves properly and in the waste bin. Additional guidelines and resources can be found on the KTB COVID-19 page.

I understand and agree to follow the guidelines above.

What is your GAC safety plan? Please mark all items you plan to have for your event.

Please provide a brief paragraph about your plans to make this a safe event for staff, volunteers and the community as a whole. Let us know about any special changes or improvements you are making due to COVID-19 concerns.

What type of GAC activities will you have in 2020? (Please choose all that apply)

TxDOT maintained roadway cleanup or AAHLitter Cleanup (land based, non-TxDOT)Litter Cleanup (waterways)Drop Off (HHW, recycling, electronics, furniture, etc)Tire Round Up

April is Don't Mess with Texas Trash-Off month. Any TxDOT state maintained roadway cleanup or Adopt-A-Hwy project will be eligible for additional cleanup supplies and the use of the iconic DMWT Trash-Off branding. Visit www.ktb.org/dmwtto for more details and resources. Which TxDOT, state maintained roadway are you planning to clean? (Groups must provide road names/numbers to receive additional TxDOT supplies)

Requested amount of litter grabbers

Would you like DMWT coloring books for kids? How many do you estimate handing out at your event? (These items will be shipped first come, first serve until they are gone and the amount sent will be determined depending on availability.)

March is Waterways Cleanup Month and will kick off with the Great Texas River Cleanup on Saturday, March 6th, 2021. Consider holding your waterway cleanup during the month of March and keep an eye out for webinars, blogs and social media content related to taking care of our great Texas waterways! Which waterways are you planning to clean?

Would you like mesh onion bags?

YesNo

May is Parks and Trails Cleanup month. Keep an eye out for webinars, blogs and social media posts related to our many amazing parks and trail systems throughout Texas! Are you cleaning up a Park or Trail as part of your GAC activities? Please let us know which parks/trails you hope to clean/improve this Spring.

Estimated number of volunteers

Estimated number of trash bags needed

Estimated number of clear recycle bags needed

Estimated number of vinyl gloves needed (individual gloves, not pairs)

Estimated number of cloth work gloves needed (individual gloves, not pairs)

Would you like disposable masks? (Supplies are limited. We are unable to provide one mask per volunteer, but will send a supplemental box(s) to assist you.)

YesNo

Would you like hand sanitizer?

YesNo

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 and agree to the above statement.

Great American Cleanup Registration 2021

GAC Safety Plan

Supply Request