Great American Clean-Up Completion Form

Thank you so much for Keeping Cobb Beautiful! Highly motivated, environmentally conscious individuals like you are helping to protect Cobb County’s natural resources. Your dedication and service is truly making a difference in Cobb County! Thank you!

Contact Information

Name:

Organization:

Phone Number:

Email:

Clean-Up Report

Date of Event:

Street Name/Location of Area Cleaned:

Total Number of Volunteers:

Total Number of Volunteers Under 18:

Total Number of Clean-up Hours:

Total Number of Bags Collected:

Total Number of Tires Collected:

Total Number of Miles Cleaned:

Do bags/items need to be picked up?

Yes

Comments (please include other items collected):