Join the Great Nova Scotia Pick-Me-Up Mar 14, 2019 Your Team Tell us about your team and where you will be operating. Team Name Is your team part of the One Bag Challenge? One Bag Challenge? Yes No Location of Clean-Up Number of volunteers? If you are cleaning along a provincial roadside, you are required to obtain permission from the Nova Scotia Department of Transportation and complete a Roadside Permit or Interchange/Exit Ramp Permit, two weeks prior to your cleanup. For more information, please contact us. Contact Information What is the best way for people to contact you in order to join your team? Primary Contact Contact Phone Number Contact Email Email Address Which contact information would you like visible on the map? How to Contact Display my phone Display my email Display both my email and phone Do not display any contact information Rallying Point Where is the team meeting to start the event? Street Address Town Options Select Your County ... Annapolis Antigonish Cape Breton Colchester Cumberland Digby East Hants Guysborough Halifax West Hants Inverness Kings Lunenburg Pictou Queens Richmond Shelburne Victoria Yarmouth Type of Clean Up How did you hear about us Roadside Shoreline Parks and Trails School Other Other Type of Clean Up Date & Time When should the Team meet? Example Label 22 What hour do you start at? What minute do you start at? Time AM PM How did you hear about us? How did you hear about us Facebook Instagram Twitter Waste App Radio Online Search such as Google, Bing, Firefox, etc Word of Mouth We've Done This Before Other Other Option Hear about Us Social Media Have a social media account where you can share your hard work with others? Please be sure to tag us! #EveryLitterBitHelps #nspickmeup #nsadoptahighway #CleanCanadaTogether Permission I acknowledge that I have read the Waiver and agree to all terms and conditions within. I certify the above statement to be true
