Share this page: Before filling out this form, make sure you've read the description and requirements for the Neighborhood cleanup program. Name of neighborhood * Contact person * Phone number * Email * Proposed date of clean-up * MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Day12345678910111213141516171819202122232425262728293031 Day Year20212022202320242025 Year Alternative proposed date of clean-up * MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Day12345678910111213141516171819202122232425262728293031 Day Year20212022202320242025 Year Approximately how many households are within the neighborhood? * Please explain why your neighborhood should receive the clean-up * What are your plans for promoting the neighborhood clean-up (flyers, email etc.)? * Leave this field blank Submit
