Cleanup Results Form

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THANK YOU for making a difference in West Des Moines by organizing and completing a cleanup for your adopted park or trail. As part of the Adopt a Park or Trail program, we would like to find out some details about your cleanup. Please complete the questions below at your convenience.

West Des Moines Parks and Recreation Department

Please correct the fields below:

Please correct the field(s) marked in red below:

1

Group Name

*

Group Name

2

Group's Adopted Park or Trail

*

Group's Adopted Park or Trail

3

Date of Cleanup

*

Date of Cleanup

4

Number of Group Volunteers

*

Number of Group Volunteers

5

Approximate Number of Hours Worked

*

Approximate Number of Hours Worked

6

Approximate Number of Trash Bags Collected

*

Approximate Number of Trash Bags Collected

7

Summary of what was accomplished at the cleanup

*

Summary of what was accomplished at the cleanup

8

Next Anticipated Cleanup Date (requirement of 4 cleanups per year)

9

Feel free to upload a cleanup picture here

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Maximum size allowed: 5 MB

Allowed types: .gif, .jpg, .jpeg, .png, .doc, .docx, .xls, .xlsx, .rtf, .pdf, .txt

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Cleanup Results Form

THANK YOU for making a difference in West Des Moines by organizing and completing a cleanup for your adopted park or trail. As part of the Adopt a Park or Trail program, we would like to find out some details about your cleanup. Please complete the questions below at your convenience.

West Des Moines Parks and Recreation Department