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Let’s Clean Our City Registration Form

Please complete the registration form below to participate in the Let’s Clean Our City community clean-up on Friday, April 17, 2026 and Saturday, April 18, 2026. The deadline for registration is 4:30 p.m. on Thursday, April 16, 2026. We encourage you to use your own reusable gloves to reduce waste but free clean-up kits are available for pick up by completing the form below. Love where you live and let’s keep Brantford litter free!

Contact Information

Applicant Name

Organization Name (if registering as neighbourhood association, business, community group or other organization)

Address

Contact Phone

Contact E-mail

Clean-up Information

Clean-up Location (provide general location, i.e. street name(s), park name, etc.)

Number of people involved in your clean-up (estimate)

Number of clean up kits required (1 garbage bag, 1 recycling bag) required (max 50)

Number of gloves required (sets)

City staff will pick up collected garbage/recycling at the specified location on Friday, April 17 and Saturday, April 18, 2026 only. Alternatively, you can leave your collected garbage/recycling out with your regular waste at the curbside as long as there are no more than 5 garbage bags in total.

Applicant Signature

Applicant Name

Agree To Terms

Yes

Personal information on this form is collected under the authority of section 10(1) of the Municipal Act, 2001, as amended and will be used solely to contact persons making application for a community cleanup location with the City of Brantford. Questions about this collection should be directed to the Business Support and Sustainability Office at 519-759-4150 ext. 5426.