Adopt-A-Drain Interest Form
Please complete this application if you are interested in participating in the City of St. Petersburg's Adopt-A-Drain Program. This program requires you to watch an online educational training video and complete additional volunteer and consent forms prior to receiving materials to maintain the storm drain(s) you adopt. Once this application is submitted, an Adopt-A-Drain team member will contact you to provide additional instructions and work with you to select the storm drain(s) you will maintain.
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Preferred contact method
*
Email
Phone
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Are you applying as an Individual or a Group?
*
Individual
Group
Group name and contact
Brief description of the number and location(s) of the drains you would like to adopt.
*
Additional Comments or Considerations
Signed Agreement and Waiver
Yes
No
Agreement Length
12 months
24 months
Date
-
Month
-
Day
Year
Date Picker Icon
Equipment Checked Out
Gloves
Garden Bag
Rake
Broom
Safety Vest
Dustpan
Yard Sign
Submit
Should be Empty: