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2. Individual/Group Name:*
4. Group Representative:*
6. Contact Phone:*
8. Location*
10. Number of Participants*
12. Date of Clean Up*
14. Time of Clean Up*
16. Total Hours*
18. Total Group Hours*
20. Repairs/Replacements needed

    1. Fencing
    2. Trash Cans
    3. Tables
    4. Paths

    1. Facilities
    2. Signs
    3. Other
22. Comments
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24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit Submit and Print

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