Cleanup Data Collection Form
If you have completed a community cleanup in Deerfield Beach, use this form to log your collection data. If you don't have all the data, that's ok!

If you are looking for community service hours, screenshot this form filled out and email it to coastal@dfb.city. We will send you a document certifying your hours.
Sign in to Google to save your progress. Learn more
Group Name
Individual Name (List multiple names if your group is looking for service hours)
Cleanup Location
Date of Cleanup
MM
/
DD
/
YYYY
Length of Cleanup (Hours)
How many people are in your group? (Walking with you)
How many bags did you collect?
What was the total weight of the bags you collected?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy