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Join the 2008 Great American Cleanup™

Use this form to register your involvement with the 2008 Great American Cleanup™ with Keep Knoxville Beautiful.  When you register you become eligible to receive supplies like heavy-duty gloves, litter bags and safety vests. 

1.  Your Name:
              
2.  I am (select one): a group leader (indicate group below)
a member of a participating group (indicate group below)
an individual not associated with a group
              
3.

I am registering
(check all that apply):

 

a Residential Area Cleanup
a Business/Commercial Area Cleanup
a School/Park/Greenway Cleanup
the Student Poster Contest
the Greek Challenge
to be an EarthFest volunteer
General Inquiry
    
4.  Name of your Group, Business, Family,  etc.
(Example: Downtown Rotary, The Smith Family, 
AAA Builders Employees, etc.)
                 
5.  Mailing Address:
(House or Apt #, Street Name, P.O. Box, City, State, Zip)
               
6.Email Address:
    
7. Phone Number: 
(Please indicate if day number, night/weekend, etc.)
                
8. General Target Area:
(if applicable)

      
9. Name of Target Area:
(if applicable)

(Example: Shady Acres Subdivision, Northside Mall, etc.)
             
10. Target Date for Cleanup:
(if applicable)

(Please try to finish your cleanup by April 21.  Our volunteer
appreciation event is planned for April 28, Volunteer Landing.)
    
11. Comment or Question:

  

PRESENTED BY: