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Cleanup Wrap-Up Report
Community Clean Up Program - Keep Horry County Beautiful
*
1.
Community Cleanup Organization Name:
(Required.)
*
2.
Name of Group Leader:
(Required.)
First Name
Last Name
3.
Contact Information:
Email Address
Phone Number
*
4.
Event Date and Start Time
(Required.)
Date / Time
Date
January
February
March
April
May
June
July
August
September
October
November
December
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
Su
Sunday
Mo
Monday
Tu
Tuesday
We
Wednesday
Th
Thursday
Fr
Friday
Sa
Saturday
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Hour
Time
:
Minutes
AM/PM
-
AM
PM
5.
Where did your cleanup take place?
Location 1
Location 2
Location 3
Location 4
Location 5
*
6.
How many hours did your group spend cleaning?
(Required.)
*
7.
How many volunteers were in your group?
(Required.)
*
8.
How many bags of trash did your group pick up?
(Required.)
9.
How many bags of recyclables did your group pick up?
10.
How many miles of roadway did your group pick up?
11.
How many acres of park land did your group pick up?
12.
How many miles of rivers, waterways, and/or beaches did your group pick up?
13.
How many miles of trails (hike and/or bike) did your group clean?
14.
Did your group find any illegal dump sites? If so, where?
Location 1
Location 2
Location 3
Location 4
*
15.
I hereby confirm that upon submitting of this form all the information above has been provided with the best of my knowledge on the following date:
(Required.)
Certification of Wrap Up Report Submission
Date
January
February
March
April
May
June
July
August
September
October
November
December
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
Su
Sunday
Mo
Monday
Tu
Tuesday
We
Wednesday
Th
Thursday
Fr
Friday
Sa
Saturday
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Hour
Time
:
Minutes
AM/PM
-
AM
PM
Current Progress,
0 of 15 answered