300 E Main Street, Ste 131
Fort Wayne, IN 46802
(260) 969-0079
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Adopt A Greenway Post Clean Up Form
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Adopt A Greenway Post Clean Up Form
Adopt-A-Greenway Post Clean Up Evaluation
Name of Group
(Required)
Contact Person for Your Group
Email
(Required)
Phone
Date of Clean Up
(Required)
MM slash DD slash YYYY
Number of Volunteers
(Required)
Number of Bags Collected
(Required)
How Many Hours Were Spent Cleaning Your Section?
(Required)
When Is Your Next Scheduled Clean Up?
(Required)
Type of Debris Collected
This could be wrappers, cans, etc.
Please List Any Notes/Concerns You Would Like to Share With Us.
If you are listing a concern please note the approximate location as well as the issue. Please upload a photo of the issue down below.
Photo of Concern
Max. file size: 256 MB.
Day of Signed Waiver
(Required)
Max. file size: 256 MB.
Optional Photos
Max. file size: 256 MB.
Optional Photos
Max. file size: 256 MB.
Optional Photos
Max. file size: 256 MB.
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