Community Clean Up Sign Up Form
Sign in to Google to save your progress. Learn more
Contact Person (s) *
Group Name (Optional)
Phone Number *
Email *
Number of volunteers *
Date of Cleanup: *
Area to be cleaned: *
Pick up your supplies (gloves and bags) at Town Hall, 1 Heady Street in Cortlandt Manor between 9:00am-3:00pm, Monday-Friday.                                                                              
Please gather all garbage bags in one spot for Sanitation to pick up on your scheduled garbage pick day.
All participants are agreeing to participate in the cleanup voluntarily and at their own risk. By participating, you agree to hold the Town of Cortlandt harmless for any damages or injuries. *
Required
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