Page 1 of 2

Clean Up Rep Registration Form

Thank you for your interest in becoming a Planet Patrol Rep! We are excited for you to join our team and get patrolling as soon as possible! Please complete and submit this sign up form and we will be in touch soon. The information you provide about your clean-ups will be published on the Planet Patrol website and social media so please ensure this is clear and accurate and to the best of your knowledge. 

Personal Details

First Last

Please include postcode - this is where correspondence / equipment will be sent to

This will be used by Planet Patrol to contact you during a clean-up

For example: paddleboarding, yoga, fitness, canoeing, parkour etc. We will ask you for your qualifications at the next stage

Facebook, Twitter, Instagram, Website etc.

Tell us about yourself! This will go on the 'Meet our team' section of our website

Which equates to roughly one a month over Spring and Summer, but these clean ups can be run year round if preferred

Please provide an estimate (e.g. number of people you can provide kit - like paddleboards - for) - we can provide guidance if required

E.g. River Thames, Leeds-Liverpool canal, Windermere Lake etc

Agreement Information

Your clean-ups will be hosted exclusively on the Planet Patrol website It is mandatory that every participant both signs up via the Planet Patrol website to secure a spot and signs a consent form ahead of the clean up.

Prior to your clean up, please download and read all documents available at These include a risk assessment template, healthy and safety guidelines and a near miss and incident form. 

Please ensure that you have read and understood the above supporting documents prior to your clean up. If you have any queries or concerns, please don't hesitate to contact
And finally, we want to take this opportunity to thank you for your time, effort and enthusiasm!
From Lizzie and the Planet Patrol team. 

NB: By completing this you agree to comply with GDPR data protection laws and Planet Patrol using your data for the purpose of your position as volunteer partner, running clean ups and communicating with you regularly about your role.

NB: By signing this form you are declaring that you do not have any previous convictions or cautions, restricting you from working with young people or vulnerable adults and confirm that there is no other reason why Planet Patrol should not work with you or your group. 

Tap or click on the signature above to sign