Thank you for your committment to the environment, we appreciate your help with the on going clean up of our city parks. Your feedback is very important to us.

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* 1. Date of Clean Up

Date

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* 2. Which Park?

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* 3. Group Name
Girl Scout Troop #
Green Club @ (School)

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* 4. Time spent cleaning park

Time

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* 5. Number of participants

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* 6. Condition of Park before starting

  Bad: Lots of Litter Everywhere Fair: Some Litter spread throughout park Average: Litter here & there Very Good: Hardly any litter Excellent: No litter to pick up
Near Recreational Equipment
Near Athletic Field
In Open Areas
Near Trash Bins
In Parking Lot
Throught neighborhood
In waterway/creek

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* 7. Condition of Park before after your group was done

  Bad: Lots of Litter Everywhere Fair: Litter spread throughout park Average: Litter here & there Very Good: Hardly any litter Excellent: No litter to pick up
Near Recreational Equipment
Near Athletic Field
In Open Areas
Near Trash Bins
In Parking Lot
Throught neighborhood
In waterway/creek

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* 8. Number of bags collected

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* 9. Did you leave the bags...

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* 10. What kind of trash and recyclables did you pick up?

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* 11. Is there anything that requires the immediate attention of our staff? Example: Equipment repair, removal of graffiti, broken glass, undesirable trash?

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