Community Litter Pick Booking Form
We are able to offer a range of support to communities planning clean-up events, including the provision
of kits, each containing the following equipment;
20 x hi-visibility waistcoats,
20 x litter pickers
disposable gloves
sacks
If you would like to use this equipment please complete the booking form and return it to
recycling@teignbridge.gov.uk or Waste and Cleansing, Teignbridge District Council, Forde Road
Depot, Forde Road, Newton Abbot. TQ12 4AD.
Event organiser
Name
Contact telephone no:
Contact email address:
Name of group represented
Event details
Date of your litter pick
Where you will be litter picking (i.e. road
names, parks, community areas)
We have 3 kits available, please advise how
many kits you would like to borrow
(maximum 2)
Please tick to confirm you have provided the following documents
Copy of insurance cover
Copy of bespoke risk assessment
I confirm that the litter picking event will be run as detailed in the risk assessment and at the locations
stated, with agreement from the land owners.
I understand that this work will be undertaken at the risk of those involved and that the volunteers are
not working on behalf of the Council.
Signed (event organiser) .........................………..................................Date..............................................
Full name……………………………………………
We are committed to ensuring that your privacy is protected by adhering to the EU General Data Protection Regulation (GDPR).
Your personal identifiable information will be stored and retained in accordance with our full privacy policy.
https://www.teignbridge.gov.uk/privacy. Your data will be used, stored and retained solely for the purposes mentioned above.
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