Great PA Cleanup Event Registration Form

Great American Cleanup of PA Hotline:
1-877-772-3673 ext. 113

Michelle Dunn, Program Coordinator
mdunn@keeppabeautiful.org

(724) 836.4121 x113

105 W. Fourth St.
Greensburg, PA 15601

Register An Event

All registered events being held between March 1 - May 31 are eligible for FREE work gloves, safety vests, and trash bags (courtesy of PennDOT and GLAD Products Company) while supplies last. To learn more regarding all of the sponsors for the Great American Cleanup through Keep America Beautiful, please click here.

Members of the Pennsylvania Waste Industries Association and other landfill owners, along with the PA DEP, have graciously donated landfill space for trash collected during the cleanup. Please note that free landfill space is available between April 21th to May 7th. Everyone who registers an event for the Great American Cleanup of PA will be given access to a list of services and supplies available in their area. Additionally, there will not be free tire disposal this year as there has been in the past. To properly dispose of your tires, the PA DEP website has a list of all permitted tire recyclers and processors. Click here for this list .

So that we may properly process your registration, please complete ALL fields below. You will receive an e-mail within 3-5 business days notifying you that your event application has been processed and providing you with an Event ID number. Please save and print that e-mail, as you will need to take it with you as proof of your eligibility for free landfill space and cleanup supplies.

Community Day events held for residents to clean out their households are not eligible for the Great American Cleanup of PA.

Please be aware that the spring gobbler hunting season runs statewide from April 28th through May 31st and the youth spring gobbler day is April 21st.
If you have general questions regarding your event, need to edit your event registration, register an event over the phone, or are having technical problems with submitting this web form, please call Michelle Dunn at 1-877-772-3673 EXT 113.

Event Registration Form

Please complete all fields and then click the "Submit" button:
Also please do not use the 'Enter' key until you have completed the form
Any field with an Asterisk (*) is required


*Group Name:
*Number of Participants:
*Number of Participants under 18:

*Event Contact Person First Name:	Last Name:
*Daytime Phone:	(ex: 999-999-9999)
*E-mail Address:
*Confirm E-mail Address:

*Address:
*City:
*State:
*Zip:

Type of Event (choose one*):	Litter Cleanup Event Illegal Dump Cleanup Event Beautification Event Recycling Event Education Event

	Is this event an Elm Street Project?
	Is this event an Main Street Project?
	Is this event an PennDOT Adopt-A-Highway cleanup?
	Is this event in a School Zone?
	Is this event in a greenway? (A greenway is a linear corridor that connects one place to another such as a trail, waterway, or open space)

How many years have you held a Great American Cleanup of PA event	None - This is our first year 1-3 Years 3-5 Years Over 5 Years

*Beginning Date of Event:	(ex: mm/dd/yy)
*Beginning Time of Event:	(ex: 9:00 a.m.)
*Ending Date of Event:
*Ending Time of Event:	(ex: 4:00 p.m.)
Rain Date of Event:	(ex: mm/dd/yy) Optional
*Name of Event:
*Event Location or Address: (Limited to 255 characters)
*County Event Will be Held in
Municipality Event Will be Held in
Registration Notes	(Event notes can not be more than 456 characters)

Please allow 3-5 business days for your application to be processed.