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Adopt-A-Road Cleanup Status Report
If you have a gmail account, please see the link on our website to upload photos of your cleanup. If you do not have a gmail account, please email your photos to
programs@knfb.org
.
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* Indicates required question
Email
*
Your email
Name
*
Your answer
Name of Organization
*
Your answer
Date and Time Cleanup Started
*
MM
/
DD
/
YYYY
Time
:
AM
PM
Date and Time Cleanup Ended
*
MM
/
DD
/
YYYY
Time
:
AM
PM
Location of Cleanup
*
Your answer
Number of Volunteers
*
Your answer
Number of bags of litter collected
*
Your answer
Pounds of litter collected
*
Your answer
Did you find any unusual items or have any unusual experiences you would like to tell us about?
Your answer
Any other comments?
Your answer
A copy of your responses will be emailed to the address you provided.
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