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
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!
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