Type of Cleanup*

Note: if your cleanup was not associated with a registered KPWB Adopt-a-Spot or Adopt-a-Shelter, then please select the Community Cleanup option. Adopt-a-Spot volunteers should submit a separate report for each month they host a cleanup.

Name*

First Last

Group Name (If Applicable)

Adopt-a-Spot/Adopt-a-Shelter Group Name*

Please provide name as registered with KPWB, which is also the name used on your Adopt-a-Spot/Adopt-a-Shelter sign.

Email*

Phone*

Cleanup Date*

For Adopt-a-Spot volunteers who cleanup multiple times in a single month, please enter your first cleanup date above and check the below box for additional options.

I am reporting multiple Adopt-a-Spot cleanups for the month.
Not Applicable

Reporting Month*

Number of Adopt-a-Spot cleanups for the month*

Total number of volunteers that participated during the month*

Total number of hours for ALL volunteers during the month*

Last cleanup date for the month*

Cleanup Location (Please provide as much information as possible)*

How long was your cleanup?*

Please use decimals to represent an portion of an hour. (ex. 3 hours and 30 min = 3.50)

How many volunteers participated in your cleanup?*

Out of the total volunteers reported above, how many volunteers were under 18?*

How many bags of litter did you collect?*

Please list any non-bagged items collected during your cleanup.

Please share any feedback or anything else you would like us to know about your cleanup experience.

Cleanup Photos, Videos And Content

Drop files here or

Max. file size: 2 GB, Max. files: 10.

Cleanup Photos, Videos And Content

If applicable, do you grant KPWB permission to use the photos and/or videos from your cleanup on our social media?(Required)*

Yes
No
N/A

Report Cleanup

Cleanup Reporting

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