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 Tired of litter along highways? Help us clean them up! Saturday, June 4, 2016

 
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 CLEanUp Cleveland Roadway Registration

 
* Indicates required field

Date *
Select a date from the calendar.
Enter the date you are submitting the form

Contact Name *
Enter your name

Group/Organization
Enter the group or organization you represent (if applicable).

Address

City

Zip Code

Contact Phone Number
Please include area code and number

E-mail

Number of Adults *
Please list the number of adults participating in the cleanup event

Number of Children *
(Ages 12 - 17) list the number of children participating

 

 CLEanUp Cleveland Documents