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2. Thank you for volunteering to "team up to clean up!" When your cleanup is over, you must bring your trash bags to the local convenience center yourself.
   ***PLEASE NOTE*** If you are filling this out on a FRIDAY, your kit will be ready to pick up NEXT FRIDAY, not today.
4. Cleanup location
6. First Name
7. Last Name
9. Email address
11. Phone number
13. Is that phone number OK to text?

    1. Yes
    2. No
15. Name of group, if applicable
17. How many will be in your group, approx?
19. Is your group comprised of adults, children, or both?

    1. Adults
    2. Children
    3. Both
21. What supplies would you like to receive from Clean Community?

    1. Bags
    2. Grabbers
    3. Buckets
    4. Safety vests
    5. CAUTION VOLUNTEERS WORKING large yellow yard sign
    6. Free wildflower seeds
    7. 1 free children's picture book about recycling
23. Anything else do you need to tell us? (need a specific quantity or size of something?)
25. Where do you want to pick up your supplies?

    1. CONTACT-FREE: Sidewalk BEHIND Stewart Building (across from Botetourt Elementary) 6382 Main Street, after 12 on Friday
    2. IN-OFFICE: LOBBY of the Stewart Building (across from Botetourt Elementary) 6382 Main Street, during office hours, after 12 on Friday

    Contact-free backyard equipment pickups will be on FRIDAY AFTERNOON/Saturday morning. In-office pickups will be available weekdays during County office hours, ready for pickup at noon on Friday or later. (If you are filling this out on a FRIDAY, your kit will be ready to pick up NEXT Friday, not today.) We'll email you with a confirmation, so watch your inbox! Return equipment to the same location anytime at your convenience.
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27. Submit

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