Forms • Lucas County • CivicEngage

Great American Cleanup - 2019 REGISTRATION FORM

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Name of Group*
Contact Person*
Phone #*
E-mail*
Cleanup location (Please be specific.)*
Cleanup Date(s)*
# of volunteers*
# of Glad Trash Bags Requested*
Date You Would Like To Pick Up Trash Bags From Our Office*
A limited supply of litter tongs and gloves are available upon request.

* indicates required fields.