Please complete the following information for yourself/your organization. Your request will be processed and the Beautification Coordinator will contact you. If you have any questions or special needs, please call 757-890-3780.
Name of Group / Individual:
*
Primary Contact Person
*
Mailing Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email Address:
*
Home Phone Number:
Please enter a valid phone number.
Cell Phone Number:
Please enter a valid phone number.
Please fill in the type of spot to be adopted as well as the location
Park:
Creek:
Drain:
Median:
Block (curb & sidewalk):
Other:
What is the location or nearest address of your adopted spot?
Approximately how many volunteers will be working in the spot at one time?
Approximately, how often do you plan to clean the site? Minimum commitment is twice per year. (Example: Daily, 3x Per Week, Weekly, Monthly, Bi-monthly, etc.)
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