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Adopt-A-Spot Request Form
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Adopt-A-Spot Request Form
Please complete the following information for yourself/your organization. Your request will be processed and the Beautification Coordinator will contact you. If you have any questions or special needs, please call 757-890-3780.
Name of Group / Individual
Primary Contact
Mailing Address
E-mail Address
*
City
State
Zip Code
Home Phone Number
Cell Phone Number
Please fill in the type of spot to be adopted as well as location
Park
(Provide Name of Park)
Creek
(Provide Name/Location of Creek)
Drain
(Provide Location of Drain)
Median
(Provide Location of Median)
Block (curb & sidewalk)
(Provide Location)
Other
(Please Describe)
What is the location or nearest address of your adopted spot?
Approximately how many volunteers will be working in the spot at one time?
Approximately, how often do you plan to clean the site? Minimum commitment is twice per year
Example: Daily, 3x Per Week, Weekly, Monthly, Bi-monthly, etc.
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