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2. Participant Roster Form
4. Volunteer Group*
6. Volunteer Group Leader*
7. Date of Clean-Up*
9. Street(s)*
11. Number of Volunteers*
12. Number of Trash Bags*
13. Number of Hours Worked*
15. Start Time*
16. End Time*
18. Locations of Trash Bags*
20. Any accidents, injuries, or incidents?*

    Description of accident, name of individual(s), nature of incident, etc.

22. Photos
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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