Fill in the form below to register! Step 1 of 2 50% Name* First Last Address* Address Line 1 Town County Eircode Local Authority*Choose a Local AuthorityDublin City CouncilFingal County CouncilSouth Dublin County CouncilDun Laoghaire Rathdown County CouncilThis shows up when Dublin City Council is selected.This shows up when Fingal County Council is selected.This shows up when South Dublin County Council is selected.This shows up when Dun Laoghaire Rathdown County Council is selected.Email* Phone* Group name* Size of group*Type of Group*Choose a Group TypeCommunity GroupYouth GroupBusiness GroupSporting GroupFishing CommunityOtherLocation of Cleanup and Meeting Point* Date of Clean-up MM slash DD slash YYYY Time of clean-up* : Hours Minutes AM PM AM/PM Is this a Public Cleanup?*Do you want members of the public to join? Yes No Website/Facebook Page Other Information About the CleanupConsent I agree to....I consent for my data to be shared with the relevant local authority and with An Taisce for insurance purposes.CAPTCHANameThis field is for validation purposes and should be left unchanged.