Adopt-a-Spot Cleanup Report Form

2. 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. Grissom Library
   2. Main Street Library
   3. Pearl Bailey Library
   4. Public Works
   5. South Morrison Library
   6. We use our own supplies
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:


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

    This field is not part of the form submission.

23. Submit

* indicates a required field