Log Participation - Residents
Now that you've completed the 1 Bag Challenge, log your participation here. We want to be able to measure community-wide progress and always work to improve the program.
Contact info: First and last name
Your answer
Contact info: Email address
Your answer
Contact info: Phone number
Your answer
Resident address
Your answer
When did you complete the clean-up?
MM
/
DD
/
YYYY
How many bags of litter did you collect?
Your answer
How many people participated in the cleanup?
Your answer
Where did you cleanup?
Provide descriptive information like: 1st Ave. between 2nd and 8th St., or Daniels Park, or Cold Stream north of J Ave for 100 yards, or parking lot of [name of company or between what streets].
Your answer
Are you interested in completing future cleanups?
How can we make this program more successful? How can we make your experience better? Write any ideas and feedback you have here.
Your answer
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