Litter Cleanup Wrap-Up Form

Please only enter information for your entire group if you are the 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.

Address of Cleanup

Zip Code of Cleanup

Volunteer Name*

Volunteer Email Address*

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

Group or Organization

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

Please enter numbers only, except in the comments

If a field does not apply, enter "0".

Youth Volunteers*

Number of volunteers in your group under the age of 18

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".

Garbage Bags*

Number of bags of trash that you or your group picked up

Recycle Bags*

Number of bags of recyclable material you or your group picked up

Tires*

Number of tires you or your group collected

Parks Cleaned*

Estimated miles of roadway cleaned*

Count both sides of the 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

Privacy Notice|Report Abuse