2021 Adopt-A Program Report Form
Date of Trash Pickup
Date Picker Icon
Ex: Christopher and Maggie Holt, YAY Brunswick, etc.
Group Contact's Name
Number of Volunteers
Number of Hours Worked
Number of Bags of Litter
Number of Tires
My group disposed of my litter
NO (if no, list cross street where bags are placed, below, in "Other")
Number of Bags of Recycling Collected
My group picks up cigarette butts
Upload ALL 2021 VOLUNTEER SIGNATURES HERE
We must have on file signatures of ALL volunteers for your group each year.
Submit favorite cleanup photo here.
Find us (and your uploaded photos) on our social media pages!
Should be Empty:
Now create your own Jotform - It's free!
Create your own Jotform