JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
2022 Great American Cleanup - Signup
MARCH 20 - JUNE 20 CALL 937-521-2021 with Questions
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Contact Name
*
Your answer
Group Name (if any)
Your answer
Address
*
Your answer
City/Zip
*
Your answer
Phone
*
Your answer
Number of adult volunteers
*
Your answer
Number of youth volunteers
*
Your answer
Cleanup date
*
MM
/
DD
/
YYYY
Cleanup location (public places only)
*
Your answer
Supply pickup date
*
MM
/
DD
/
YYYY
Supply pickup location
*
Clark County Recycling Center, 1602 W. Main St., Springfield - M-F; 7:30-4:30; closed Noon-1:00
City of New Carlisle, 331 S. Church St., New Carlisle - M-F; 7:00-4:00
Moorefield Township Office, 1616 Moorefield Road - M-Th; 10:00-3:00
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
