Hume Springs Adopt-A-Park Reporting Form
Help us earn money from the City of Alexandria through the Adopt-A-Park program! Report your time spent collecting litter in our neighborhood parks: Hume Springs Playground, 3550 Commonwealth @ W Reed, Four Mile Run @ end of Edison, Flagpole Park on Edison. If you collected litter in more than one park on multiple days, submit a new form for each collection. Your name is optional and will not be reported to the city. Questions? Contact president@humesprings.org
Date of collection *
MM
/
DD
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YYYY
Park in which you collected litter: *
Time spent collecting (in minutes) *
Your answer
Number of people in group *
Your answer
Notes or issues to report in parks
Your answer
Your Name
Your answer
Your Email
Your answer
How did you hear about the Hume Springs Adopt-A-Park program? *
Required
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