2. School Name*
4. Names of participating teachers*
6. Contact Phone Number*
7. Contact Email Address*

   Contact for questions about cleanup

9. Where was the cleanup?*

   Was this cleanup of the school property or another location (please let us know the names of roads that were cleaned up)

11. Date your group's clean-up took place*
    Date your group's clean-up took place
12. Do you need KACCB to arrange to have the bags of trash and recyclable materials collected hauled away?*

    1. Yes
    2. No
13. Were any bulky items collected (items too large to fit in a bag)?*

    1. Yes
    2. No
15. Number of TRASH bags collected*
16. Number of bags of RECYCLABLE MATERIALS collected*
17. Description/type and quantity of BULKY ITEMS (if collected)
19. Number of volunteers under the age of 18*
20. Total number of volunteers*
21. Amount of time volunteered (in hours (or fraction) / per person)*
23. If the bags need to be hauled away, please provide a GPS searchable location where the bags were left behind (address, name of road, closest intersection)
25. Photo of stranger thing(s)
26. Photo of your group
28. Comments/Questions
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30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit

* indicates a required field