Adopt-A-Road Cleanup Status Report
Johns Creek
Name
*
First Name
Last Name
Email
*
example@example.com
Name of Organization
*
Date Cleanup Started
*
-
Month
-
Day
Year
Date
Cleanup Start Time
*
Hour Minutes
AM
PM
AM/PM Option
Date Cleanup Ended
*
-
Month
-
Day
Year
Date
Cleanup End Time
*
Hour Minutes
AM
PM
AM/PM Option
Location of Cleanup
*
Number of Volunteers
*
Bags of Litter Collected
*
Pounds of Litter Collected
*
Did you find any unusual items or have any unusual experiences you would like to tell us about?
Any additional comments?
Please upload photos of your cleanup here.
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