Adopt Cedar Hill Cleanup Report

2. 

3. Adopt Cedar Hill Cleanup Report

   Organizations participating in Adopt Cedar Hill must submit a cleanup report within 5 days of a scheduled event.

   Organizations participating in Adopt Cedar Hill must submit a cleanup report within 5 days of a scheduled event.

5. Name of Adopter/Applicant/Organization*

6. Contact Person/Authorized Representative*

7. Phone Number*

8. Email*

10. Cleanup Location*

11. Date of Cleanup*
    Date of Cleanup

12. Number of Volunteers*

13. Total Hours Worked*

15. Number of Bags Filled*

16. Comments

18. Cleanup Photos (Optional)

    Though not mandatory, cleanup photos are encouraged to highlight your efforts. Any photos submitted may be used in grant and award applications, other City publications, webpages, and/or social media. You may also email photos directly to Duy Vu, Environmental Manager, at duy.vu@cedarhilltx.com

19. Cleanup Photos (Optional)

    Though not mandatory, cleanup photos are encouraged to highlight your efforts. Any photos submitted may be used in grant and award applications, other City publications, webpages, and/or social media. You may also email photos directly to Duy Vu, Environmental Manager, at duy.vu@cedarhilltx.com

20. Cleanup Photos (Optional)

    Though not mandatory, cleanup photos are encouraged to highlight your efforts. Any photos submitted may be used in grant and award applications, other City publications, webpages, and/or social media. You may also email photos directly to Duy Vu, Environmental Manager, at duy.vu@cedarhilltx.com

22. Cleanup Photos (Optional)

    Though not mandatory, cleanup photos are encouraged to highlight your efforts. Any photos submitted may be used in grant and award applications, other City publications, webpages, and/or social media. You may also email photos directly to Duy Vu, Environmental Manager, at duy.vu@cedarhilltx.com

23. Cleanup Photos (Optional)

    Though not mandatory, cleanup photos are encouraged to highlight your efforts. Any photos submitted may be used in grant and award applications, other City publications, webpages, and/or social media. You may also email photos directly to Duy Vu, Environmental Manager, at duy.vu@cedarhilltx.com

24. Cleanup Photos (Optional)

    Though not mandatory, cleanup photos are encouraged to highlight your efforts. Any photos submitted may be used in grant and award applications, other City publications, webpages, and/or social media. You may also email photos directly to Duy Vu, Environmental Manager, at duy.vu@cedarhilltx.com

Leave This Blank:


25. 1. Receive an email copy of this form.
26. Email address

    This field is not part of the form submission.

27. Submit

* indicates a required field