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2. Group name
3. Group Leader*
4. Group Leader Phone Number*
6. Cleanup Spot*
7. Cleanup Date*
   Cleanup Date
8. Number of Volunteers*
9. How many bags of trash did you collect?*
11. Start Time/End Time*
    Start Time/End Time Start Time

    —

    Start Time/End Time End Time
12. What activities did you accomplish during your pickup day?*
14. What is the general condition of the area?*
15. List any items that require immediate maintenance attention (be specific).
17. Have waivers been submitted for all volunteers?*

    1. Yes
    2. No
18. Please submit photos for Keep Burleson Beautiful to share on social media.

20. Thank you for submitting your cleanup report! We appreciate everything that you do to help Keep Burleson Beautiful.

Leave This Blank:


22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit

* indicates a required field