Register your interest

I want to get involved in CoastKeepers!
Fill out the details below and click 'submit' when you are done.
Please fill in all fields marked with a *
My details are:
First name*
Surname*
Organisation name
Email*
Postal address*
Suburb*
State*
Postcode*
Phone Home
Phone Work
Phone Mob


I am interested in getting involved in:

Surveys

Survey types

Yes

Cleanups

Cleanup types

Yes

Beach
Underwater

Bush regeneration Yes
Environmental education Yes
Administration Yes
Marketing Yes
A bit about myself:
Age 18-24
25-34
35-44
45-64
65+
Sex F
M
Bush regeneration
experience
(give details in 'Additional Comments')		 Yes
Survey experience
(give details in 'Additional Comments')		 Yes
Clean-up experience
(give details in 'Additional Comments')		 Yes
Certified diver

Are you an
 NPA member?

 No
Yes
How did you hear about us?
Any suggestions?

Additional comments

              

Your Privacy: Your registration information will only be used by CoastKeepers and NPA to inform you about upcoming activities, news and, requests for financial or other support. Your personal information will not be supplied to any third party.

 

Did you know?

CoastKeepers is an initiative of NPA~Marine. Please visit the NPA~Marine website to find out more about our exciting events, campaigns and other marine conservation work.

 
 

Donations

Making a gift to CoastKeepers will help our efforts to safeguard Sydney Harbour. Please contact Dave Roe on 9299 0000 to make a financial or other donation today.