Post cleanup report for Neighbourhood Cleanup Party and Adopt a Block

All fields required unless marked optional.

Important note If you are a student reporting hours for school credit, follow the instructions found in your registration confirmation email.

1. Which program are you submitting a report for: *This question is required.

2. First and last name: *This question is required.

3. Group name: (Optional)

4. Email address: *This question is required. This question requires a valid email address.

5. Phone number: *This question is required.

6. Date of clean-up: *This question is required. Select the calendar icon to pick the date or enter the date formatted as MM/DD/YYYY. This question requires a valid date format of MM/DD/YYYY.

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7. Number of hours volunteered: *This question is required. This question requires a valid number format.

8. Area cleaned (example: Victoria St from 41st to 60th Ave): *This question is required.

9. Number of garbage bags collected or buckets filled (round to the nearest 0.5): *This question is required. This question requires a valid number format.

10. Number of volunteers: *This question is required. This question requires a valid number format.

11. Would you like to share a photo of your team or your work: (optional)

Terms and conditions

I authorize, free of charge and forever, the recording and/or photographing (the “Released Media”) of myself/my child by the City of Vancouver, Vancouver Park Board, Vancouver Public Library and their respective affiliates, agents, and employees (the “City Group”). I warrant and represent that I possess all rights, title, and ownership in the photos to be shared up to this site. Examples of the use of the photos include without limitation: use in program brochures, on public displays, and through the Internet in any format or medium, including web-posting, web-streaming, and social media (“Examples”). I understand that my/my child’s name or any other personal information regarding the identification by name of myself/my child (except as contained in the actual photograph or recording) will require my additional consent. I acknowledge there will be no money or other compensation payable by the City Group to me for the Released Media. The copyright in the Released Media is and will remain the exclusive property of the City Group. I agree that the City Group is granted free of charge and forever the right to edit and modify the Released Media as it sees fit without my/ my child’s consent (otherwise known as “waiver” of artistic or moral rights under copyright law). I understand that this consent form is legally binding and so affects my child’s/my legal rights on the basis set out above. *This question is required.

Share up to 6 photos of you or your work:Acceptable file formats: JPG, JPEG, PNG, GIF. Maximum file size 10 MB.

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