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Adopt-A-Street: Clean-Up Report

  1. EVENT DETAILS

  2. Materials Collected (check all applicable):

  3. Photos of Clean-Up

  4. By checking the electronic signature verification box below, I affirm that I am authorized to represent the adopting group listed on this form in regard to cleanup.

  5. Signature*

  6. Leave This Blank:

  7. This field is not part of the form submission.