Earth Day Cleanup Registration

Please fill out the form below to register for Earth Day Cleanup.

First Name:
Last Name:
Street Address:
City:
State:
Zip:
Age:

Organization:
Email Address:

Volunteer Date & Time of Cleanup:	4/17/2021 at 12:00pm - Patten Park 4/22/2021 at 3:00pm - JRF Community Garden 5/1/2021 at 10:00am - Brighton Ave Comm. Center 5/1/2021 at 11:00am - Fink Park 5/1/2021 at 12:00pm - Francis Street Park 5/1/2021 at 1:00pm - Seven-Eleven

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