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Keep Mansfield Beautiful Commission (KMBC) Adopt-A-Street Cleanup Report
Sign in to Save Progress
This form has been modified since it was saved. Please review all fields before submitting.
After every cleanup event, please fill out the following form so we can update our data and give your group credit for the cleanup.
Organization Name
Contact Name
*
Email
Phone
*
Date of Cleanup/Project
Date of Cleanup/Project
Cleanup/Project Location
City
State
Zip Code
Number of Volunteers
Number of Hours to Complete Cleanup/Project
Number of Bags of Trash Collected
Cleanup photo
Description of Project
Adopt-a-street, trash cleanup, community service project, other, etc.
Types of litter picked up
Aluminum cans
Balloons
Cigarettes
Glass bottles
Large or bulky items
Masks / Gloves / PPE
Paper
Plastic bags
Plastic bottles
Plastic utensils / straws
Styrofoam
Tires
To-Go cups / packaging
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