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Adopt A Spot Registration Form

2. Adopt A Spot/Street Registration Form

   After you submit this form, we will contact you with more details!

   After you submit this form, we will contact you with more details!

4. Here's how it works:
   
   
   1. Register for Adopt A Spot<br> <br> 2. Attend our Adopt A Spot training<br> <br> 3. Conduct your first cleanup within one month of training<br> <br> 4. Call 757-441-1347 for trash pickup<br> <br> 5. Submit sign in sheet and report form after your cleanup<br> <br> 6. Continue to clean your spot/street at least four times a year (once every three months)<br> <br>

   1. Register for Adopt A Spot
   
   2. Attend our Adopt A Spot training
   
   3. Conduct your first cleanup within one month of training
   
   4. Call 757-441-1347 for trash pickup
   
   5. Submit sign in sheet and report form after your cleanup
   
   6. Continue to clean your spot/street at least four times a year (once every three months)
   
   

6. Please answer the following:

   Please note all Adopt A Spot areas are located in the City of Norfolk

   Please note all Adopt A Spot areas are located in the City of Norfolk

8. Group Name:*

10. First Name*

11. Last Name*

13. Email*

14. Phone*

16. Have you been a part of Adopt a Spot before?*

    1. Yes! I am taking over as a new leader.
    2. Yes! I will be the co-leader for our group.
    3. Yes! We would like to reactivate our group.
    4. No, but I'm excited to get started!

18. Tell us about your group!*
    -- Select One --IndividualMilitary GroupFraternity/SororitySchool GroupLocal OrganizationBusinessOther

20. Size of your volunteer group*
    -- Select One --Small (1-5)Medium (6-15)Large (15+)

22. Street Name/Area

    Do you have an area in mind you would like to Adopt? We cannot guarantee we will assign you to that area, but we will do our best!

24. Training Availability*
    -- Select One --2nd Wednesday of the month at 4:30PM2nd Thursday of the month at 12:00PM

    Group leader training is required to participate in the Adopt A Spot/Street program.

Leave This Blank:


25. 1. Receive an email copy of this form.
26. Email address

    This field is not part of the form submission.

27. Submit

* indicates a required field