Shelton Litter Cleanup Reporting Form
This is a volunteer reporting form for any group or individual who has picked up litter in Shelton, CT, including Adopt-a-Street and Clean Sweep participants as well as anyone else who has picked up litter in a public place. While completion of this form is not required, we do encourage our volunteers to record their efforts. This gives us a better idea of how many people are involved and how much is getting picked up. It also inspires other people to clean up their neighborhood. Thank you! Note: For Clean Sweep patches and certificates, you also need to fill out a second form. See the Clean Sweep webpage at
Of group or individual who did the cleanup. Shy volunteers can enter "anonymous.'
For groups only
This should be a public place, such as a street, park, school, or waterway. If doing a road, please specify the road section you actually cleaned.
Date(s) of the cleanup
Please estimate how much was picked up.
(Example: "7 large bags and a TV."
How many people participated in your cleanup?
This helps us estimate the number of people involved throughout the city.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service