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2. Name of Adopt-A-Street Group or Organization*
4. Adopted Street*
6. Date of Activity*
   Date of Activity
8. Total volunteers involved in activity:*
9. Total volunteer hours:*
11. Total trash bags collected:*
13. Were the bags disposed of by the group, or do you require pickup?*

    1. Disposed by Group

    1. Require Pickup
15. Most Common Litter:
17. Most Unusual Litter:
19. Comments
Leave This Blank:


21. 1. Receive an email copy of this form.
22. Email address

    This field is not part of the form submission.

23. Submit

* indicates a required field