Request to engage in Community Cleanups
Name of First Leader
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Name of Co-Leader or other responsible adult
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
What is the date of your community cleanup?
-
Month
-
Day
Year
Date
What type of community cleanup are you engaging in? This could be Adopt-a-Highway, beach or river cleanups, parks, camps, or natural area cleanups.
Troop Number
How are you planning on keeping the Girls safe?
How will the Girls Discover, Connect and Take Action as part of this project?
Submit
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