Section 1 of 1 in this document
Keep Charlotte Beautiful Clean-Up Report
KCB appreciates your commitment to our community. Please tell us about your recent clean-up event below
Organization or group name:
Are you a current KCB Adopt-A-City Street Program participant?
Yes
No
Contact name:
First Name
Last Name
Email address:
Phone number (optional):
Date of clean-up:
Street section(s) cleaned:
Number of volunteers participating:
Length of cleanup (hours):
Total volunteer hours (multiply number of volunteers by length of cleanup):
Total trash bags collected:
Total bags of recyclables collected:
Did each volunteer review the safety sheet and sign the participant liability waiver?
Yes
No
Did you call 311 to pickup the bags of trash from the clean-up?
Yes
No
Please let us know of any challenges experienced or unique items collected.
Please indicate any optional activities performed during your event (not required). You may select all that apply.
Reported graffiti via 311 or My Charlotte App
Removed illegal sign(s)
Marked storm water drains
Separated recyclables
KCB loves our volunteers. If desired, please provide your hashtag, Twitter handle or Facebook page to help us show off your great work. Remember to follow us on Twitter and Instagram (@KCB_CLT) and Facebook (facebook.com/KeepCharlotteBeautiful/).
Do you have any additional comments?
disregard this