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Report Your Clean Up

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


34. 1. Receive an email copy of this form.
35. Email address

    This field is not part of the form submission.

36. Submit

* indicates a required field