2. 
3. Adopt Cedar Hill Cleanup Report
   Organizations participating in Adopt Cedar Hill must submit a cleanup report within 5 days of a scheduled event.
5. Name of Adopter/Applicant/Organization*
6. Contact Person/Authorized Representative*
7. Phone Number*
8. Email*
10. Cleanup Location*
11. Date of Cleanup*
    Date of Cleanup
12. Number of Volunteers*
13. Total Hours Worked*
15. Number of Bags Filled*
16. Comments
18. Cleanup Photos (Optional)

    Though not mandatory, cleanup photos are encouraged to highlight your efforts. Any photos submitted may be used in grant and award applications, other City publications, webpages, and/or social media. You may also email photos directly to Lauren Betz, Environmental Manager, at lauren.betz@cedarhilltx.com

19. Cleanup Photos (Optional)

    Though not mandatory, cleanup photos are encouraged to highlight your efforts. Any photos submitted may be used in grant and award applications, other City publications, webpages, and/or social media. You may also email photos directly to Lauren Betz, Environmental Manager, at lauren.betz@cedarhilltx.com

20. Cleanup Photos (Optional)

    Though not mandatory, cleanup photos are encouraged to highlight your efforts. Any photos submitted may be used in grant and award applications, other City publications, webpages, and/or social media. You may also email photos directly to Lauren Betz, Environmental Manager, at lauren.betz@cedarhilltx.com

22. Cleanup Photos (Optional)

    Though not mandatory, cleanup photos are encouraged to highlight your efforts. Any photos submitted may be used in grant and award applications, other City publications, webpages, and/or social media. You may also email photos directly to Lauren Betz, Environmental Manager, at lauren.betz@cedarhilltx.com

23. Cleanup Photos (Optional)

    Though not mandatory, cleanup photos are encouraged to highlight your efforts. Any photos submitted may be used in grant and award applications, other City publications, webpages, and/or social media. You may also email photos directly to Lauren Betz, Environmental Manager, at lauren.betz@cedarhilltx.com

24. Cleanup Photos (Optional)

    Though not mandatory, cleanup photos are encouraged to highlight your efforts. Any photos submitted may be used in grant and award applications, other City publications, webpages, and/or social media. You may also email photos directly to Lauren Betz, Environmental Manager, at lauren.betz@cedarhilltx.com

Leave This Blank:


25. 1. Receive an email copy of this form.
26. Email address

    This field is not part of the form submission.

27. Submit

* indicates a required field