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2. Organization:
3. Contact Person:
5. Phone:
6. Email:
8. ADOPTED AREA - Park, Trail or Street?
9. PARK
12. TRAIL / From & To (use Streets or Landmarks):
15. STREET / From & To (use Streets or Landmarks):
17. Cleanup Date:
19. Please report all Participant Name(s) & Volunteer Hours Worked
21. 1. Name & Hours Worked
22. 2. Name & Hours Worked
24. 3. Name & Hours Worked
25. 4. Name & Hours Worked
27. 5. Name & Hours Worked
28. 6. Name & Hours Worked
30. 7. Name & Hours Worked
31. 8. Name & Hours Worked
33. 9. Name & Hours Worked
34. 10. Name & Hours Worked
36. Please make note of any problems or concerns your group experienced when cleaning the adopted area or any suggestions you would like to share with Town staff.
38. Form will be submitted to the Program Coordinator:
    Gene Kotlinski
    Town of Normal Parks and Recreation Department
    100 E. Phoenix Ave.
    Normal, IL 61761
    Phone (309) 454-9724
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40. 1. Receive an email copy of this form.
41. Email address

    This field is not part of the form submission.

42. Submit

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