School Litter Audit – Registration Form School Litter Audit – Registration Form *To be completed by classroom teacher and/or student group leader. School: Class Grade or Student Group: Teacher/ Leader Full Name: Phone: Email: School Address: Litter Audit Date: 1. How many students are in the class/group? 2. What are the ages of students? 3. Will ALL students in your class or group be able to participate in the litter clean-up activity? Yes No If No, please explain: 4. Has your class or student group been active or currently active in litter control efforts in and around your school yard or the community? Yes No Please share: 5. Has your class or student group participated in a Mission Adopt-A-Block education activity or other community clean-up event in the past? Yes No Please share: 6. Would you be interested in receiving information on other Mission Adopt-A-Block education activities? Upcoming events? Newsletters? Yes No If so, please include email address: 3+4=?