Cleanup Report Form

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Adopt-A-Greenway Cleanup Report Form

The City of College Station thanks you for participating in the Adopt-A-Greenway Program. We appreciate the difference you are making in the community. Please complete this form within five business days after your cleanup.

First & Last Name:

Group Affiliation:

Phone Number:

E-mail:

Cleanup Location:

Cleanup Date:

How many participated in the cleanup?

How many of the participates were between the ages of 12-18?

In hours, how long did the cleanup take?

How many bags of trash were collected?

What was the most unusual object found?

Are there any items (chemicals, heavy machinery, etc.) that you were unable to move during the cleanup? Yes
No

If yes, please explain:

Additional Comments:

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