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2. Waste Pick-up Report

   This form allows for Galveston Beach Ambassadors to report the waste collected from walks, surveys, or cleanups.

4. First Name
5. Last Name
7. Email Address
9. When did you collect this data?
   When did you collect this data?

   When did you collect this data?
11. How much waste was collected and properly disposed of? *

    Please report waste in pounds (lbs). 

13. Did you remove the weight of the 4Ocean waste collection bag from the number provided?*
    -- Select One --YesNo

    The 4Ocean waste collection bag weighs 0.83 lbs

15. Area Cleaned

    Please provide distance covered, street names, local landmarks, and/or descriptions to provide an idea of the area covered while cleaning. 

17. Where did you start cleaning?*
19. Where did you stop cleaning?*
21. Did you clean upon return to your starting point?*

    1. Yes
    2. No
    3. Cleaned general area. Example: Parking Lot
23. Are there any observations you would like to report?
25. Thank you!

    Thank you for taking time out of your day to keep our island beautiful. The Park Board greatly appreciates all that you do for our community!

Leave This Blank:


27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit

* indicates a required field