Adopt-A-Beach Application Your Name (required) Group/Company Name (if applicable) Your Email (required) Phone Number (home) Phone Number (cell) Mailing address (for mailing supplies or other program communications): Site Preference(s): About you and your group... Have you received and read our Adopt-a-Beach handbook? YesNo Have you ever been to a beach cleanup? YesNo If so, when? How often can you commit to cleaning a beach? (we look for groups that can clean once per month but will make exceptions in some cases) Is there any time of year that may be difficult for you to conduct cleanups? (if so, please list when and why) How many people do you estimate will be in your cleanup group? (list # of adults and children, if applicable) When would you like to conduct your first cleanup? If possible, list your intended cleanup dates for the next 6 months below: Why do you want to participate in our Adopt-a-Beach program? Anything else we should know? e.g. If you are adopting as a business, school, community group, etc., it is helpful to us to have your mission statement, web site and any other important info so that we can include it in our media releases.