LITTER COLLECTION FORM

Clean-Up Steps:

1. Check Out Collection Tips at www.cleanearthchallenge.com

2. Keep Track of What You Collect

3. Tally the Items You Pick Up (Optional)

4. Weigh Trash (Optional)

5. Recycle What You Can

6. Submit Your litter totals here using the form fields below

Thank you for participating – every piece you collect counts!

Thank you for taking the Clean Earth Challenge to help clean up our planet! Make sure to keep track of your clean-up efforts and measure your personal impact. Every piece you collect counts!

First Name

Last Name

Email Address

Type of Team/Individual

Team Name

Cleanup location city

Cleanup location state

Method of Collection

Quantity

*If using garbage bags, what size?

**If other garbage bag size, what size?

Optional - If you tallied your trash by type of litter, please use the fields below:

1. Type of Litter

1. Number Of Pieces Collected

2. Type of Litter

2. Number Of Pieces Collected

3. Type of Litter

3. Number Of Pieces Collected

4. Type of Litter

4. Number Of Pieces Collected

5. Other

5. Other Total

6. Other

6. Other Total

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