REPORT YOUR CLEANUP

Girl Scouts Southern Appalachians

Girl Scouts – Report Your Cleanup Form – Southern Appalachians

"*" indicates required fields

Troop Name and #*

Troop Leader Name*

First Last

Email*

Phone*

City*

County*

Check Appropriate Box to select your participation*

Educational Worksheets

Only Cleanup

Both Educational Worksheet and Cleanup

Cleanup Location*

(full name of school/park/road including City)

Cleanup Date*

Total Number of Volunteer Adults

Total Number of Volunteer Girls

Total number of volunteers*

Number of bags collected*

Automatically calculated weight of bags in lbs

This field is automatically calculated based on Number of bags collected. Average weight of bag is 20lbs

Were any large items collected that did not fit into trash bags?

Upload cleanup photos

Drop files here or

Accepted file types: jpg, png, Max. file size: 50 MB.

Please provide photo identification (first and last names) for uploaded images (left to right)

(Please provide photo identification for uploaded images and check appropriate box.)

Photo IDs

By checking the box I plan to submit Troop photos and cleanup information to our local media outlets.

Upload Photos

By checking the box and uploading photos, you give TDOT the right to use to for promotional purposes on Nobody Trashes Tennessee’s social channels and website.

Total Number of Patches Requested

Please select one

Please mail patches the the address above

Patches will be picked up at the Girl Scouts of Southern Appalachians

Social Handles

(optional – we will tag/credit your troop if used in a social post)

Additional Comments

Comments

This field is for validation purposes and should be left unchanged.