Name
*
First Name
Last Name
I am signing up for (please check one)
*
a group, club, or organization
my family
myself
Adopt-A-Street Partner
Group, Organization or Neighborhood
Estimate # of adult volunteers (18 and older)
*
Estimate # of youth volunteers (under 18)
*
Do you have a cleanup site?
*
Yes
No
Please specify the location of your selected cleanup site by listing name of street, intersection, neighborhood, school, stream, etc.
We can help!
Click on the link below to select from the available cleanup sites.
Litter Hotspots Map
Enter your selection below.
*
Please list the date between February 8 and February 29 when your cleanup is to take place
*
Email
*
example@example.com
Event Day Phone
*
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State
Zip Code
SIGN UP!
Should be Empty: