Registration - World Cleanup Day 2019

Join as a volunteer!

All fields marked with an * are required. Individual volunteers (not part of a group or company), please also use this registration form.

What type of Clean up event would you like to register for?*
Please note, based on your preference we will do our utmost to accommodate you at your preferred clean up location.
First choice of preferred zone
Please choose your 1st preferred zone. This information will be used as a indication of your preferred zone. However it is not a guarantee that you will be assigned a location in this zone. A zone is used to indicate an area and is comprised of more that one neighborhood.
Second choice of preferred zone
Please choose your 2nd preferred zone
First name*
Last name*
E-mail address*
Mobile phone number*
Office phone number
Preferred method of contact
How would you like to register?*
- Large Company
- Small or Medium Company
- Educational Institution
- NGO or community group
- Friends & family group
- Individual
If you are registering as a group, please fill out the information below
Individuals, please skip this question
Number of volunteers in your party
Please enter the name of the Team Captain / Group coordinator.
Every volunteer group should have at least 1 Team Captain / Group Coordinator.
Name of group
Get Creative, think of a name that best represents your group.
Do you own a truck of heavy equipment vehicle?*
Is someone you know willing to volunteer their pick-up truck or heavy equipment vehicle during the World Cleanup event?
- Yes, I or someone I know has a vehicle that can be used. I will fill out the information required below.
- Yes, I or someone I know has a vehicle that can be used, but I will provide the information below at a later point.
- No, I nor someone I know has a vehicle that can be used during our event.
Type of Truck or Vehicle
- Pick Up Truck
- Flatbed Truck
- Dump Truck
- Back hoe Loader
- Skid Loader
What type of vehicle would you like to volunteer? Select the one that applies to you.
Company name of the Vehicle
We would like to publicly thank every company that supports any clean up initiative
Vehicle License Plate Number
We need to register all vehicle license plate numbers that will deposit trash at the landfill during the World clean up day. Please share this with us.
Terms of Service*
I/my group agree(s) to be a volunteer in the World Clean Up Day Curaçao initiative and commit to the tasks assigned to me/us. I/we understand that it is my/our responsibility to adhere to, and comply with, the policies and procedures as indicated by the event coordinators. I/we agree to release and discharge the the World Cleanup Day Curaçao organizers and its partners, and all other persons associated with the the World Cleanup Day Curaçao from liability for any injuries, accidents, or physical conditions I/we may suffer during the event, claims, costs, and damages, including but not limited to those arising out of or related to my participation as a cleanup volunteer. I/we grant full permission for The World Cleanup Day Curaçao to use my/our name(s), likeness, voice(s), photographs, videotapes, or quotations from me/us in accounts, promotions and activities, in any medium, related to any the World Cleanup Day Curaçao events. I fully understand this agreement and I am/we are aware that this is a release of liability between the World Cleanup Day Curaçao and myself/our group.
- I agree to the terms of service