2. Clean Cedar Hill Registration Form

   Please complete the form to ensure groups do not overlap cleanup locations.

   Supply pickup and come-and-go breakfast will be available to volunteers from 8 AM to 10 AM at the Alan Sims Recreation Center.

   Please complete your cleanup by 12 noon.

   Thank you for helping Keep Cedar Hill Beautiful!

4. Group Name
5. How many volunteers?

   Volunteers under the age of 16 must be accompanied by an adult.

6. Do you want t-shirts?

   Adult S-3XL t-shirts are available as supplies last. List shirt sizes and quantity. Quantity must not exceed the number of volunteers.

8. Group Contact
9. Contact Email
10. Contact Phone #
12. Provide a brief description of your cleanup including the general location.
14. Do you need trash pickup?

    1. YES (Please complete cleanup by 12 noon and place trash bags in a single pile at the nearest street accessible sidewalk, nearest street accessible sign, or nearest public trash bin.)
    2. NO (Dumpsters will be available for self-haulers at the Alan Sims Recreation Center.)
15. Do you need cleanup supplies?

    1. YES (Staff will contact you when the supplies are available for pickup.)
    2. NO

    Available supplies: trash bags, gloves, safety vests, trash grabbers.

16. Will you attend breakfast?

    1. YES
    2. NO

    Come-and-go breakfast will be from 8 AM to 9 AM at the Alan Sims Recreation Center.

Leave This Blank:


18. 1. Receive an email copy of this form.
19. Email address

    This field is not part of the form submission.

20. Submit

* indicates a required field