Trash for Cash_ Cleanup Registration Form

Trash for Cash_Cleanup Registration Form
Congrats!

Your organization has been approved for the Brightside Trash for Cash program.

It is now time for Step 2: Registering your first Cleanup!

REMINDER: You must complete this form at least TWO weeks BEFORE your Cleanup event. This time is required to allow for full coordination of your Cleanup.

The Brightside Trash for Cash Program is made possible by the Kentucky Pride Fund and in partnership with the Louisville Metro Government Clean Collaborative.

Call Brightside at 502.574.2613 with questions.
This form is for approved Trash for Cash participants only.
Section 1: Cleanup Group Information
Name of Non Profit Organization:
Cleanup Leader Name

First NameLast Name
Cleanup Leader Email Address
example@example.com
Cleanup Leader Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Section 2: Cleanup Details & Route Selection
What is the date of your Cleanup?

MonthDayYear
What is the RAIN date of your Cleanup? (Optional but highly recommended.)

MonthDayYear
What is the START time for your Cleanup?
You will need to refer to the Route Selection Guide to complete the next section.

The Route Number (highlighted in yellow on the Guide) tells Brightside where you will be cleaning up, and where to pick up your bags of gathered litter.

The Route Selection Guide is accessible on the Brightside website under Trash for Cash. You can also access the Guide by CLICKING HERE.

REMINDER: As stated in the Trash for Cash Program Overview document, bags of gathered litter can be placed at any intersection along your selected route.

The Program Overview document is also accessible on the Brightside websites under Trash for Cash. You can also access the Overview by CLICKING HERE.
Please provide your selected Route Number (highlighted in YELLOW on the Route Selection Guide).
REMINDER: Three timestamped photos must be submitted to Brightside staff in order for the Cleanup Event to be verified for payment.

Photo 1: At Beginning of Cleanup, marking start time

Photo 2: Photo during Cleanup, showing progress (and great for sharing!)

Photo 3: At end of Cleanup, marking end time
Section 3: Supply Pickup
All required supplies and safety materials will be provided by Brightside.

Each time you conduct a registered Trash for Cash Cleanup you will recieve:

- For the Group: bug spray, sunscreen

- For each Volunteer: 1 high visibility safety vest, 1 pair of work gloves, 1 trash grabber, and 2 green Brightside trash bags

All vests, grabbers and unused supplies must be returned to the Brightside office within one week of your Cleanup date. The return of supplies is required before payment can be processed.
Supplies are available for pickup at the Brightside office (600 Meriwether Avenue) on Tuesdays and Thursdays from 9am-4:00pm. When you like to pick up your supplies?

MonthDayYear
REMINDER: All volunteers must submit a completed liability waiver.

Waivers must be completed BEFORE the Volunteer joins the Cleanup.

The Brightside Volunteer Liabilty Waiver can be accessed by CLICKING HERE.
How many volunteers are you expecting?
Section 3: Cleanup Verification
Please check below to confirm you have read and understand all stated REMINDERS listed in this form.
Please sign to confirm that you have read and agree to all above requirements of the Trash for Cash program.
Brightside offers language access assistance free of charge.
Should be Empty:

Trash for Cash_Cleanup Registration Form

This form is for approved Trash for Cash participants only.

Section 1: Cleanup Group Information

Section 2: Cleanup Details & Route Selection

Section 3: Supply Pickup

Section 3: Cleanup Verification