Adopt-A-Street sign up form

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Thank you for adopting a Hyde Park street or spot. We will reach out to you shortly with instructions and information on where to get supplies.

Email *

Last Name *

First Name *

I am signing up on behalf of: *

myself

my family

a community, school, or church group

a business

Other:

What name would you like to have listed on the KHPB website? *

What street, section of street, or spot would you like to adopt? (be as specific as possible) *

Please provide me with: (Check all that apply)

Garbage Bags

A Safety Vest

A Grabber

Please check off all boxes to indicate your understanding and acceptance of the statements below: *

I agree to indemnify and hold Keep Hyde Park Beautiful and its members harmless from and against all liability associated with any accident, injury, or damage arising as a result of my adopt-a-street cleanup efforts.

I agree to abide by the safety tips listed on the KHPB website.

I agree to clean up my adopted area at least once per month (weather permitting)

Required

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