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Adopt-A-Mile Activity Report

Please correct the field(s) marked in red below:

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Activity Collection Report

Thank you for cleaning up your adopted stretch of Brentwood!

Your contribution to the cleanliness and beautification of the City of Brentwood, as well as the environment is important to us.

Now you just need to complete and submit this collection report to receive credit towards your agreement.

   

Please note: ( * ) indicates a required field.

Activity Details:
 *
Activity Details:
Cleanup Details:
 *
Cleanup Details:
Collection Disposal Method:  (Minimum of 1 selection required)
Collection Disposal Method: (Minimum of 1 selection required)
We want to share your cleanup success with the rest of our citizens.  Tell us any interesting stories or bits about your event.  
Feel free to upload any photos to help tell your story below:
New Text Information
  1. To receive a copy of your submission, please fill out your email address below and submit.