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2. 
3. Litter Cleanup Kit Program
   Do you live or work in York County, and want to organize a cleanup in your community? We’ve got you covered! Our Check Out to Clean Up Litter Pickup Kits have everything you’ll need, from gloves to garbage bags, safety vests, and more. ALL ITEMS ARE FREE OF CHARGE!
5. Name of Organization
6. Primary Contact Person
8. Address
10. City
11. State
12. Zip Code
14. Email Address
15. Phone Number
17. Date of Cleanup
18. Area of Cleanup
19. Time Frame of Cleanup
21. Estimated number of adult volunteers
22. Estimated number of children volunteers
24. Do you have a disposal plan for the litter bags?
    -- Select One --YesNo
25. If no, please provide address for pickup
27. Would you like York County to add your cleanup to our website and/or post about it on Facebook?

    1. Yes, add it to the community map!
    2. Yes, post about it on Facebook!
    3. No, we'd like to keep this cleanup private.
29. View the Check out Policy
    View Here
30. View the Litter Clean Up Waiver
    View Here
Leave This Blank:


32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit

* indicates a required field