KSB Community Cleanup Corps Reporting Form
Name
*
First Name
Last Name
Email
*
Group/Organization name (If applicable)
Number of Participants
*
Date of Cleanup
*
-
Month
-
Day
Year
Cleanup Duration (In hours)
*
Cleanup Location (Please include road, river, park, greenway, etc., names)
*
Approximate Distance Covered (In miles)
*
Amount of Trash Collected (In bags)
*
Size of Bags Used (In gallons)
*
Additional Comments
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