Please register yourself or the people participating from your group/organisation.
It is very important you register as this will allow us to support you with advice resource and material.
Also we need the organisations/group details to issue all the relevant materials etc. which will allow you to run the most effective campaign.

Registration Form

Are you registering yourself or on behalf of an organisation? (required)

Group/Organisation Name

Representatives contact

Your Name (required)

Your Gender (required)

Your Age (required)
Please note: anyone under the age of 16 needs to be supervised by a guardian or a responsible adult

Your Email (required)

Your Area and Code e.g. Manor Park E12 etc (required)

The date you wish take part/ organise your cleaning event in your area (required)

Which location do you wish to run the Campaign? e.g Barking Rd (required)

Telephone Number

Please mention any medical issues we should know about

Additional info you wish to tell us

Please upload a logo for your organisation/group in PNG or JPEG format (This will be placed on the poster allocated to your area code and also on the Clean Street website).

Please accept our terms and conditions available on the leaflet and that you will act responsibly throughout this campaign