Adopt-a-Park/Street/Trail Application Form

2. Name of Group or Organization:

3. Contact Person:

5. Mailing Address

7. City

8. State

9. Zip Code

11. Phone Number:

12. Number of Individuals in the group:

14. E-Mail Address

16. Interested in adopting:

    1. Park
    2. Street

    1. Segment of Trail
18. Preferred areas to adopt:

20. 1.

21. 2.

23. COMMITMENT:
    <BR><ul><li>Pick up litter on a regular and continuing basis, preferably monthly.</li><li>Submit the Adopt-a-Park/Street/Trail Clean Up Report Form each time area is cleaned. Report any safety hazards on this form.</li><li>Generally maintain the assigned area in a manner that improves the beauty and overall appearance of the Town</li></ul>

    
    

    • Pick up litter on a regular and continuing basis, preferably monthly.
    • Submit the Adopt-a-Park/Street/Trail Clean Up Report Form each time area is cleaned. Report any safety hazards on this form.
    • Generally maintain the assigned area in a manner that improves the beauty and overall appearance of the Town

25. Form will be submitted to the program coordinator:
    Gene Kotlinski<BR>Town of Normal Parks and Recreation Department<BR>100 E. Phoenix Ave.<BR>Normal, IL 61761<BR>Phone: (309) 454-9724

    Gene Kotlinski
    Town of Normal Parks and Recreation Department
    100 E. Phoenix Ave.
    Normal, IL 61761
    Phone: (309) 454-9724

27. 
    

Leave This Blank:


29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

* indicates a required field