Litter Cleanup Wrap-Up Form

Please enter information for your group if you are a group leader. Otherwise, report your own efforts only.

Date of Cleanup*

Cleanup Location*

Please enter a park name if you cleaned in a park and a waterway name if you cleaned along a stream, river or lake. If you cleaned along a roadway or other location, please enter the address closest to that location.

Volunteer Name*

Volunteer Email Address*

Enter the same email that you used to create your My Volunteer Page account.

Group or Organization Name

If you represent a group or organization, enter the name of the organization.

Please enter numbers only, where applicable. If a field does not apply or you had none, enter "0".

Number of youth volunteers*

Number of volunteers in your group under the age of 18

Number of adult volunteers*

Number of volunteers in your group age 18 or older

Volunteer Hours*

If you are a group leader, enter all hours for your volunteers. For example, if you had a group of 5 volunteers pick up litter for 2 hours, you would enter "10".

Number of garbage bags collected*

Number of recycling bgs collected*

Number of tires collected*

Number of parks cleaned*

Estimanted miles of roadway or median cleaned*

Count both sides of a road you clean. For example, if you cleaned a half mile of roadway on both sides of the road, you would enter "1". If you only cleaned one side of the road, you would enter ".5".

Estimated miles of waterway cleaned*

Count both sides of a river or stream you clean, or count the perimeter of a lake. For example, if you cleaned a half mile of a stream on both sides, you would enter "1". If you only cleaned one side, you would enter ".5".

Comments and Suggestions

Share your feedback or just let us know how it went!

Share pictures of your cleanup!

You can upload photos with this form or email them to us at KFWB@fortworthtexas.gov. We love to recognize our volunteers on social media!

Drag and drop files here or

Send me a copy of my responses

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