Environmental Restoration Report – The Restoration Plan

Environmental Restoration Report

In order to solve environmental problems, we need to identify places affected by contamination, pollution, chemicals and ecological imbalance, etc.

- Step 1 of 2

Your Name *

First

Last

Your Email *

Email

Confirm Email

Your Phone or WhatsApp/Telegram/Signal number *

Address or location of the report *

Address Line 1

City

State / Province / Region

Postal Code

Country

First name and last name of the person who invited you to the group or how you found out about The Restoration Plan? *

Identify the name of the geographic area affected by any contamination. *

Name of the affected commune or community. *

Report Natural disasters

Cyclones
Tornados
Hurricanes
Monsoons
Floods
Landslides
Earthquakes
Volcanos

Please provide the descriptions of the damages caused by natural disaster.

Please explain where and what happened.

Identify environmental sectors that require balancing and restoring. *

Water
Land
Air
Garbage Dumps
Oceans
Beaches
Mining waste
Mines
Petroleum
Landfills
Bees
Endangered animals
Lakes
Rivers
Sewage
Radioactivity
Hazardous waste
Dangerous Residues
Chemtrails
Fires
Plagues
Other

Please explain. *

If you choose "Other", please explain why.

According to the previous answer, describe the situation or context. *

Upload photos or video (mp4, mov, etc..) (optional)

Click or drag a file to this area to upload.

Video should be recorded in horizontal format and not longer than 3 min. Describe the location and the situation or context.

INDIVIDUAL RELEASE FORM: I hereby grant permission to Touch Network News / Orenda / The Restoration Plan the right to use my name, biography, video image, likeness, and audio. The producer agrees to retain the integrity of the interviewee's image and voice, neither misrepresenting the interviewee's words nor taking them out of context. I attest that I have voluntarily agreed to be interviewed and that this document contains the entire and complete agreement concerning the use and preservation of my interview. I, the undersigned, shall not be given any fees for the services provided for this production. Signature of Interviewee (or guardian if under the age of 18): *

Please confirm GDPR Agreement *

I consent to having this website store my submitted information so they can respond to my inquiry.

Please, provide your answer below. *

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