Cleanup Site Registration
Saturday, April 10 2010 9am-12pm

Before You Register your Cleanup Site today please be sure you can answer “YES” to the following:

1. Do you have permission by the land owner to cleanup at your chosen location?
    
   • If you are in Montgomery County please contact Lynn Vismara:
     Phone: 301-495-2504
     Email: lynn.vismara@mncppc-mc.org
   • If you are in Fairfax County please contact Dan Schwartz:
     Phone: 703-324-1422
     Email: dan.schwartz@fairfaxcounty.gov
   • If you are in Prince William County please contact Kelly Jimenez:
     Phone: 703-594-3621
     Email: kellyjimenez@pwswcd.org
   • If you are on National Park land please call the headquarters of the individual park you are cleaning up www.nps.gov

     NPS Volunteer Service Agreement Form
     This Volunteer Services Agreement Form is required for all individual or groups that will be volunteering on cleanups which are located within a National Park, Forest, Battlefield, Seashore, etc… The form not only helps the parks keep track of volunteer involvement in their parks but it also covers volunteers in case of injury. This form should be filled out in advance and forwarded on to the parks Volunteer Coordinator; if unable to fill out the form in advance, it is fine to fill one out the day of the event then submit it to the park you worked at. Groups can fill out the Volunteer Services Agreement Form as a group, then attach a list of all the volunteers names to it as long as everybody in that group is over the age of 18; anyone under the age of 18 needs to have their own individual form filled out, which is to be signed by a parent or guardian.

2. Do you know where your supplies (Bags and Gloves) should be sent to?
    
   • View our Supply Distribution List before registering
   • Please register even if you do NOT need Supplies
3. Do you have Directions to get to your cleanup site from a major roadway?
    
   • Please provide directions even if you are an adopted site

If you have replied YES to all of these questions you are ready to register your Cleanup Site!

View Registered Cleanup Sites from 2009

If you have questions or concerns filling out your form contact Cleanup Manager, Becky Horner, at 301-292-5665 or .