KPB Community Cleanup Report Form
Name
*
First Name
Last Name
Group Name (If applicable)
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Cleanup
*
/
Month
/
Day
Year
Location of Cleanup (Park, Roadside, Beach location)
*
How many volunteers showed up to the cleanup?
*
What was the total number of hours volunteered for the cleanup? (add together each person's individual hours, Example: 5 people working 45 minutes each would be 3.75 hours)
*
How many trash bags did your group fill?
*
If you consent to your group's cleanup being posted on our social media, please upload any photos from your cleanup here.
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