Spring Into Clean
  Fields marked * require an entry.
Name: *
Organization (if applicable):
Contact Information:  
Address: *
Phone Number: * eg. 123-456-7890
Email Address: *
Number of Participants:
Which area would you like to request to clean?
Other Area (public areas only):
Curbside location where garbage will be left for pick up.
(eg. Livingstone St. near entrance to Community Center)

All garbage must be left curbside.  Any garbage left elsewhere
CANNOT be collected as part of the event.
Comments:
(1000 characters maximum)

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