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2. Clean Up Location*
3. Date of Clean Up*
   Date of Clean Up
5. Group Name
7. Contact's First Name*
8. Contact's Last Name*
9. Contact's Email Address*
11. Number of Volunteers Participating *
12. Total number of trash bags collected*
14. Location of trash to be picked up*

    Please be as specific as you can! You can also send GPS coordinates to 803.833.8729

15. List any interesting or unique items found
16. Estimate of weight*

    Estimate the weight of all the trash you collected, bags & large bulky items

18. Any large items that did not fit in a trash bag or were too heavy/bulky for volunteers to move?

    Be specific in the location of the item(s) so we can attempt to pick them up.

20. Any feedback/information you would like to share with Town of Fort Mill staff?
Leave This Blank:


22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit

* indicates a required field