Great American Cleanup 2025
Great American Cleanup 2025
1
Group Informaiton
>
2
Release Form
Referring Board Member Name (if a board member recruited your group)
Name of Group
*
Group Type (Please check only 1)
*
Group Type (Please check only 1)
Vounteer Group
Adopt A Spot
School
Probation Community Service
Legacy Hours
Other
Other
Contact Person
Contact Person
*
First
Last
Contact Phone
Contact Phone
*
-
###
-
###
####
Contact Email
*
Number of Adult Participants
*
Must be a number greater than or equal to
1
.
Number of Children Participants
*
Date group will cleanup
Date group will cleanup
*
/
MM
/
DD
YYYY
Pick your own area to clean or request Location?
*
Do you need vests for your cleanup?
*
Do you need vests for your cleanup?
Yes
No
Need Supplies (Pick up at our Office)
*
Yes
No
Date to Pick Up from 8:30am-4:30pm - M-Thursday; Fridays from 8:30am - 11:30am
Date to Pick Up from 8:30am-4:30pm - M-Thursday; Fridays from 8:30am - 11:30am
Thursday, Prior to Cleanup
Friday, Prior to Cleanup
By Appointment (Please call/email our office to make arrangements)
Date to pick up supplies
Date to pick up supplies
/
MM
/
DD
YYYY