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2. Please complete the online form below to submit your registration. The Neighborhood Services Coordinator will contact you to arrange the details of your cleanup. Trash bags, grabbers and vests will be provided. If you have questions give the Neighborhood Services Coordinator a call at (214) 831-5391.
4. First Name*
5. Last Name*
7. Address*
9. City*
10. State*
11. Zip*
13. Phone Number*
14. Email Address*
16. Are you:*
    -- Select One --IndividualSmall GroupLarge Group
17. How many are in your group? *
19. You group name:*
21. Please select the area you would like to cleanup:

    1. Sherley Heritage Park (Age 12+)
    2. Rosamond at SH 5 (Age 15+)
    3. County Road 373 (Adults Only)
    4. Hackberry Drive West (Adults Only)
    5. Hackberry Drive East (Adults Only)
    6. Ferguson Parkway (Adults Only)
    7. Taylor Boulevard (Adults Only)

    1. Finley Blvd at SH 5 (Adults Only)
    2. West Crossing Blvd (Adults Only)
    3. Throckmorton Blvd (Adults Only)
    4. County Rd 376 at SH5 (Adults Only)
    5. County Road 371 near Bryant Elem (Adults Only)
    6. County Road 1106 at SH 5 (Adults Only)
    7. Other site not list
23. Please leave your comments or questions below.
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