CLEANUP DATASHEET

Cleanup Datasheet Form

Name

First

Last

Phone Number

Participating Groups or Organizations

This Datasheet is for:

A Single Cleanup Event

Multiple Cleanup Events

If Multiple Cleanup Events, How Many? (Multiple sites should all be in the same region i.e. all in Maryland)

Cleanup Location Name, City & State (if multiple please list)

Is your site along a waterway?

Number of Volunteers

Approximate number of hours

Number of trash bags collected

Approximate weight of trash collected (estimate: 1 bag = 15lbs)

Number of Plastic Bags Collected

Number of Plastic Beverage Bottles Collected

Comments, questions, or suggestions:

Thanks for cleaning up with the Alice Ferguson Foundation! Upon submission you will receive a copy of the data you submitted. Please make sure you look in your junk/spam folders, if the form does not come to your inbox. Thanks again!

Come visit us! We have programs and events year round –

June 1 – National Trails Day Cleanup
July 2024 – Summer Adventure Camp
September 21 – Pinot on the Potomac
September 28 – National Public Lands Cleanup

Learn more at fergusonfoundation.org

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