Report Your Cleanup | Cleanvalley

Help us by reporting your cleanup achievement

Cleanup Report

First Name

Last Name

Team Name (if applicable)

Phone

Street Address

City

Postal / Zip code

Street Address Line 2

Number of participating adults

Number of hours (in whol numbers)

Date of cleanup

Number of participating children

Number of bags collected

Brief description of cleanup location (street or park name)

Description and approximate quantities of the types of litter you found, i.e. 25 cans, 10 plastic bags, etc. (including exact number of tires (if any)).

Additional comments

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