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Adopt-a-Road Clean up Results

  1. Please only list the number of bags collected.

  2. Did you remove the bags of debris?*

  3. Are there hazardous, bulky, or heavy materials that need to be removed?*

  4. Please provide the hours worked multiplied by the number of people who participated.

  5. Is this your third clean up?

  6. Leave This Blank:

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