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Adopt-A-Street Cleanup Report Form
The City of College Station thanks you for participating in the Adopt-A-Street Program. Please complete this form as soon as possible after your cleanup.
Group Affiliation:

Contact Name:

E-mail:

Phone:

Location of Cleanup:

Date of Cleanup:

Total Number of Volunteers:

Number of cleanup hours per person:

Number of bags filled:

Location where bags were left:

Are there any items (physical or biological hazards, oversized or heavy items, etc.) that you were unable to pick up?
If so, please provide a brief description and geographic location:

Additional Comments: