Adopt-A-Spot Report Form
This form is intended for use by COA Adopt-a-Spot and Neighborhood Cleanup participants. Please complete the form to the best of you ability. Contact Keep Atlanta Beautiful Commission if you have any questions and/or need cleanup supplies.
Is this organization certified Adopt-A-Spot Group
You have submitted an Adopt-A-Spot Application and been approved.
Request more information
First and Last Name or Organization
Ex: Jim Brown
Date of Cleanup or Beautification
Describe Area of Cleanup or Beautification
Select all that apply
Public Green space
Ex: Trinity Ave SW or Address (55 Trinity Ave SW)
Ex: Central Ave SW
Ex: Pryor St SW
Number of Volunteers:
Number of Volunteers Under 18
Total time worked:
Approximate Distance of Area Cleaned or Beautified:
Number of trash bags collected:
Ex: Number only - 1, 8, 30
Please describe any beautification efforts you completed (ex. planting, pruning, mulching, etc)
Do you need 3 or more bags picked up from the curb? Email
with Address or Intersection, and number of bags.
NOTE: Please dispose of 2 or fewer bags.
Yes, I emailed
No, I disposed of the bags myself.
Number of tires collected:
Please contact Keep Atlanta Beautiful Commission if you have any questions and/or need cleanup supplies.
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