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2. Use this form to report your Adopt-a-Spot or clean up. Thank you for supporting Keep Odessa Beautiful!
4. Person or Group*
6. Adopted Spot Location OR Location of Area Cleaned:*

   Provided roadways, intersection, and/or cross roads.

8. Date/Dates of Cleanup Event(s):*
10. Number of Volunteers*
12. Number of Hours Spent Cleaning Up*
14. Number of Bags of Litter Collected *

    Please make sure bags are full.

16. Number of Bags of Plastic/Recyclables Collected *

    Please make sure bags are full.

18. Email Address*
20. Documentation
    Please attach before and after pictures of your cleanup. Make sure all volunteers are in the picture.
22. Image Upload 1*
23. Image Upload 2
24. Image Upload 3
26. Image Upload 4
27. Image Upload 5
28. Image Upload 6
30. Comments
34. Email Address
    To receive a copy of your submission, please fill out your email address and submit.
Leave This Blank:


36. 1. Receive an email copy of this form.
37. Email address

    This field is not part of the form submission.

38. Submit

* indicates a required field