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Neighborhood Cleanup Report

  1. Litter Ranking*

    Please tell us how littered the location was BEFORE the cleanup.

  2. HELP US IMPROVE OUR PROGRAM BY EVALUATING YOUR CLEANUP EXPERIENCE!

  3. As a KMB Volunteer, how would you like to be recognized?*

  4. We would love to tag your efforts on our social media! Please paste the links to your Facebook, Instagram, and/or Twitter pages below.

  5. Leave This Blank:

  6. This field is not part of the form submission.