Post Cleanup Survey

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Please correct the fields below:

1
Community Service Program
Community Service Program
2
Your Name?
3
What group are you a participant of? 
4
Date clean-up took place? 
5
How many bags of trash did your group collect? 
6
Where are bags located?
7
Please upload participant waivers that have not been submitted to The City of Carrollton.
8
Would you like to add a photo from your clean-up?
9
Can we use your uploaded photo on our website or for marketing purposes? 
Can we use your uploaded photo on our website or for marketing purposes?
10
 Any other notes to share with City staff?
  1. To receive a copy of your submission, please fill out your email address below and submit.