Beach Clean-up data entry form

Care for our Coast beach clean-up data entry form

Case studies

Care for our Coast

Creating a clean New Zealand coastline and preserve our precious marine environment

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Please use the form below to enter your clean-up results, providing as much information as possible. Once you have finished click submit at the bottom of the page then send in your survey sheet to the Sir Peter Blake Trust to have your results validated and included as part of the nationwide clean-up total.

Enter your own results

* Mandatory Fields

Care for our coast results

Co-ordinator's name: *
School or group name: *
Contact address of group:
Contact phone:
Contact email:
Number of children: *
Number of adults: *
Supporting organisation:
Number of Westpac staff (from total number of adults):
Number of Fuji staff (from total number of adults):
Cleanup date: *
Cleanup start time: *
Cleanup finish time: *
Cleanup region: *
Name of cleanup area:
Length of cleanup area (metres): *
Width of cleanup area (metres): *
General direction cleanup area is facing:
Description of cleanup area:
Cleanup method:
Description of other cleanup method:
Please indicate whether there have been any heavy rains:
Yes
No
Please indicate whether there have been any heavy winds:
Yes
No
If there have been recent heavy winds, please indicate general direction by choosing from the list:
Please note any other factors that you think might have affected the amount or type of rubbish in your cleanup area:

1. Glass

Bottles:
Other - e.g. light bulbs:
Fragments (please estimate):

2. Aluminium, Steel, Tin

Cans:
Bottle tops/caps:
Other - e.g. foil, drums:

3. Paper, Board, Timber

Paper cups, plates, bowls:
Cardboard cartons:
Paper bags:
Paper sheets:
Timber (not driftwood):
Other - e.g. iceblock sticks:

4. Textiles and Fabric

Shoes:
Clothing items:
Pieces of textile, fabric, towel:

5. Medical and Personal

Disposable Nappies:
Syringes:
Sanitary items:
Condoms:
Other - e.g. plasters, bandages:

6. Rubber

Rubber items - e.g. balloons, tyres, jandals:

7. Foam

Foam items - e.g. cups, packaging, insulation:

8. Hard Plastic

Bottles:
Drinking straws:
Eating utensils:
Packaging bands:
Cartons / buckets:
Plastic bottle tops:
Lollypop sticks:
Other - e.g. toys, pens:
Fragments (please estimate):

9. Plastic Sheet and Fibre

Plastic bags:
Food wrappers:
Cigarette butts:
Other - e.g. mesh:
Fragments (please estimate):

10. Fishing Gear

Netting:
Fishing line:
Twine:
Hooks and other tackle:
Pots or traps:
Bait goods - e.g. bags, strapping:
Buoys or floats:
Other:

11. Rope and Cord

Rope and cord (non-fishing):

12. Other

Other items (not listed above):
Description, number and source of 'other' items:

13. Comments

Please tell us about your clean-up:

Beach Clean-up data entry form

Case studies

Care for our Coast

Stay connected

Enter your own results

1. Glass

2. Aluminium, Steel, Tin

3. Paper, Board, Timber

4. Textiles and Fabric

5. Medical and Personal

6. Rubber

7. Foam

8. Hard Plastic

9. Plastic Sheet and Fibre

10. Fishing Gear

11. Rope and Cord

12. Other

13. Comments

In this section:

Get Involved

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Antarctic Youth Ambassador

Young Leader Award

Red Socks Day

Leadership Week: Dare to Dream

Sir Peter Blake Leadership Awards

What Others Have Done

Beach Clean-up data entry form

Case studies

Stay connected

Enter your own results

1. Glass

2. Aluminium, Steel, Tin

3. Paper, Board, Timber

4. Textiles and Fabric

5. Medical and Personal

6. Rubber

7. Foam

8. Hard Plastic

9. Plastic Sheet and Fibre

10. Fishing Gear

11. Rope and Cord

12. Other

13. Comments

In this section:

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