Earth Day Community Cleanup Application - NEW DATE MAY 13
Complete this application for your family or organization to help us get an Antioch green area cleaned up and ready for the season

Date: Saturday, May 13, 2023  Cleanup Time: 9am-12pm 

Stop by Toft Ave at 9am to pick up supplies (if needed), and join us back at Toft Avenue for an appreciation lunch from 12p-2pm

Sign in to Google to save your progress. Learn more
Email *
NAME *
Organization - if applies *
PHONE NUMBER *
Which Antioch Park would you like to help us clean? - Please enter Choice 1 and Choice 2
(if you were originally signed up for Apr 22 there is no need to re-submit)

*
Number of Volunteers (#Adults, # kids) *
Do you need cleaning supplies? (e.i. garbage bags, gloves, trash picker, etc) *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy