Confluence Trash Bash – Pagedale City Hall Fill out the form below to register for the Pagedale City Hall cleanup site Thank you for your registration! Please fill out the form below to register your next volunteer! Name* First Last Email* Zip Code* ZIP / Postal Code PhoneT-Shirt Size (adult sizes only)SmallMediumLargeX-LargeXX-LargeWhat will your age be on the day of the Confluence Trash Bash (March 21, 2020)?*May we ask you a few demographic questions? This information helps us plan events and programs that reflect the people we serve. Yes No DemographicsWhat gender do you identify as? Male Female Non-binary/ third gender Prefer not to say Please specify your ethnicity (Choose as many as apply) Caucasian African-American Latino or Hispanic Asian Native American Native Hawaiian or Pacific Islander Other/Unknown Prefer not to say Additional RegistrationsWould you like to register any additional people for this event?* Yes No