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.

Personal Details

First Last

This will be used by Planet Patrol to contact you about your application or 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.

E.g. River Thames, Leeds-Liverpool canal, Windermere Lake etc If you are running land based clean ups, leave blank

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

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