Adopt-A-Road Status Report Form

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The Adopt-A-Road program enlists community volunteers to help remove litter to keep our city a clean and safe place for citizens, visitors, and businesses. The volunteers of the Adopt-A-Road program serve as visible reminders to the public that we are all environmental stewards. Roswell’s Adopt-A-Road program operates in partnership with Keep Roswell Beautiful. Check out their website for more information on this program and available sections.

Groups coordinate their own volunteers for litter cleanup on an as-needed basis, with a minimum of six cleanups per year. Trash bags and yellow vests are furnished by the City of Roswell. After each cleanup, record your work on the online form below. Trash bags and large items are picked up by the Sanitation department. The City of Roswell provides and installs a road sign recognizing each group for their cleanup efforts in their sections.

Please correct the fields below:

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

If you have questions or need more information, please contact Environmental Education at enviroeducation@roswellgov.com or 770-641-3742.

Directions: Following each Adopt-A-Road litter pick-up, registered groups should complete this form.

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Name of Organization:

Date of litter pick-up:

Number of bags filled:

Number of miles covered:

Number of volunteers:

Hours spent on litter pick-up:

Section of roadway:

Location of bags to be picked up by sanitation crew:

Contact name:

Phone number:ext.

Email address:

Comments:

To receive a copy of your submission, please fill out your email address below and submit.
Email Address

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