Adopt-a-Spot Cleanup Report Form

2. Use this form to submit your clean-up report to the Newport News Community Maintenance office.<br><br>Four cleanups per year are required.

   Use this form to submit your clean-up report to the Newport News Community Maintenance office.
   
   Four cleanups per year are required.

4. Adopting Person or Group*

6. Adopting Spot*

8. Where did you pick up your supplies?*

   1. Public Works
   2. Grissom Library

10. Date of Cleanup*
    Date of Cleanup

12. Number of Volunteers*

13. Number of Hours*

15. Number of Bags of Litter Collected*

17. Your Email*

19. Comments*

Leave This Blank:


20. 1. Receive an email copy of this form.
21. Email address

    This field is not part of the form submission.

22. Submit

* indicates a required field