Adopt-a-Street Reporting

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Are you participating in the Adopt-a-Street program with a family, organization, business or group? *

Yes

Name of Group *

Zip Code of Group *

Name of Contact *

name of the person who is designated as the contact for the City

Email Address of Contact *

Phone Number of Contact *

Cleanup Cycle *

e.g. January - December, May - April (start is month of first cleanup and last is 11 months from the first cleanup)

Road/Street *

Date of Cleanup

edit-submitted-date-of-cleanup-month

edit-submitted-date-of-cleanup-day

edit-submitted-date-of-cleanup-year

Number of Bags of Litter Collected *

Number of Volunteers for Cleanup *

Did anyone under age 18 participate in the cleanup? *

Yes

How many people under age 18 participated in the cleanup? *

Photos of Volunteers

Upload a photo or photos of the volunteers
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png.

Is this your first cleanup? *

Yes

Text for Name Sign *

Participants in the Adopt-a-Street Program are acknowledged by the City of Simpsonville with installed "Adopt-a-Street" signs. An approximate maximum of about 16 characters and spaces are permitted on the sign for the name of the Adopter, e.g. SIMPSONVILLE CITY is 15 characters and 1 space. Please indicate the text for your "Adopt-a-Street" sign. If you are unsure whether your preference will fit, feel free to include additional ones, e.g. "SIMPSONVILLE CITY" "SIMPSONVILLE" "CITY OF SVL" etc.

Leave this field blank

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Adopt-a-Street Reporting

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Adopt-a-Street Reporting

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Contact Information

Upcoming Events