Community Zone Cleanup Registration Form
Cleanup Expectations
Remove visible litter and garbage within the assigned zone.
Place collected garbage in securely tied garbage bags.
Leave filled garbage bags near roadside access for Town pickup.
Submit the Cleanup Completion Form once cleanup has been completed.
Report any hazardous or unsafe items to the Town.
Organization/Group Name
*
Contact Person
*
First Name
Last Name
E-mail
*
example@example.com
Contact Phone Number
*
Format: (000) 000-0000.
Requested Zone
*
Please Select
1 - Navy Road
Alternate Zone Choice
*
Please Select
1 - Navy Road
Estimated Number of Participants
Are you willing to accept another comparable zone if your selections are unavailable?
*
Yes
No
Please contact us first
Participant Safety Acknowledgement
By participating in the Community Zone Cleanup Program, groups acknowledge that cleanup activities may involve outdoor hazards including traffic, uneven terrain, sharp objects, and weather conditions. Participants must use caution, supervise youth participants, and report any hazardous materials or unsafe items to the Town.
*
Questions or Comments?
Submit Form
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