2. 
3. Thank you!

   Thank you for your hard work. We appreciate your time, energy, and willingness to help Keep Shady Shores Beautiful! 

   We are here to help! Supplies are limited, we are happy to share what we have. Please fill out this request form for supplies needed and we will contact you.

4. 

6. Keep Shady Shores Beautiful: Supplies Request Form

8. First Name*
9. Last Name*
11. Group Name
12. Number of Volunteers (include yourself)
13. Planned Date of Your Event
    Planned Date of Your Event
15. CLEAN UP Address/Location *

    What area did you collect in? 

17. Phone Number*
18. Email Address
20. Collection Results
22. Number of CLEAR recycle bags requested
24. Number of BLACK Trash bags requested
26. Number of Gloves (set of 2) requested
28. Number of Safety Vests Requested
30. If available, would you like hand sanitizer

    1. Yes
    2. No
32. If litter pick up is necessary, check here

    1. katie.klein@shady-shores.com
33. Where will you leave your collection?
34. All members of our group reviewed the safety guidelines*
    -- Select One --Yes
36. 
    
Leave This Blank:


38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit Submit and Print

* indicates a required field