Whether you're an individual or belong to a group, anyone can organise a Clean Up the Kimberley Weekend site.

Simply identify an area that needs to be cleaned up, it could be your local park, beach, fishing, swimming or camping spot or the verge in front of your house. Register your site below – you will be sent a FREE Clean Up Kit with important materials to help you coordinate your site – then, round up your friends and family to help. You can also attract additional volunteers via the 'Search for a Site' web facility.

* Required Fields

Click on this icon where you see it for more info

* Name of Group / Organisation / School name / Individual

* Type of Organisation -- Select One -- Individual Business Community Group Indigenous Community Indigenous Community Store Environmental Group School Council Other

Specify

* Co-ordinator Details (Must be over 18 years old)	Title -- Select One -- Mr Mrs Ms Miss Dr
First Name	Last Name

Delivery address
Street Name / No. / PO Box No
Town / Suburb	Postcode

Postal address as above
Street Name / No. / PO Box No
Town / Suburb	Postcode

* Preferred contact method for enquiries regarding your site -- Select One -- home work mobile email

Home Phone	Work Phone
Mobile	Other

* Email address

How did you find out about the Clean Up the Kimberley Weekend 2007? -- Select One -- Banner / Billboard Business / Employer Community Group Company Newsletter Council Email Event / Festival Government Department Indigenous Community Industry Association Internet - Clean Up Australia Website Internet - General Search Internet - Link from other Website Magazine Newspaper - Metropolitan Newspaper - Regional / Country / Local Radio Advertisement School Sports Group Word of Mouth

Have you or your organisation ever participated in Clean Up the Kimberley Weekend before? Yes No

Please specify years -- Select One -- 1-2 3-4 5+

As far as you know, has the site you are registering been cleaned before? Yes No

Would you like to participate in the rubbish survey during your clean up? Yes No

Please keep me up to date with Clean Up Australia's News and events. Yes No

If you are having difficulty with registering online please call 08 9193 5921. You can fax or mail us your site registration by clicking here to download Site Registration Form.