Adopt-a-Park/Street/Trail Clean Up Report Form

2. Organization:

3. Contact Person:

5. Phone:

6. Email:

8. ADOPTED AREA - Park, Trail or Street?

9. PARK

12. TRAIL / From & To (use Streets or Landmarks):

15. STREET / From & To (use Streets or Landmarks):

17. Cleanup Date:

19. Please report all Participant Name(s) & Volunteer Hours Worked

21. 1. Name & Hours Worked

22. 2. Name & Hours Worked

24. 3. Name & Hours Worked

25. 4. Name & Hours Worked

27. 5. Name & Hours Worked

28. 6. Name & Hours Worked

30. 7. Name & Hours Worked

31. 8. Name & Hours Worked

33. 9. Name & Hours Worked

34. 10. Name & Hours Worked

36. Please make note of any problems or concerns your group experienced when cleaning the adopted area or any suggestions you would like to share with Town staff.

38. 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

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40. 1. Receive an email copy of this form.
41. Email address

    This field is not part of the form submission.

42. Submit

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