Report Your Cleanup Results

THANK YOU for making a difference in West Des Moines! Your hard work helps keep our community beautiful.

To help us track the success of the Adopt-a-Street program, please share a few details about your recent cleanup using the form below.

Please correct the fields below:

1
Group Name
 *
2

Group's Adopted Street

 *
3
FROM street/location
 *
4

TO street/location

 *
5
Date of Cleanup
 *
6
Number of Group Volunteers
 *
7

Approximate Number of Hours Worked

 *
8
Approximate Number of Trash Bags Collected
 *
9
Summary of what was accomplished at the cleanup
 *
10
Next Anticipated Cleanup Date (requirement of 4 cleanups per year)
11

Feel free to upload a "before" cleanup picture here

12

Feel free to upload an "after" cleanup picture here

13

Feel free to upload a picture of your group here

14

THANK YOU!  For all your hard efforts in helping to keep West Des Moines beautiful!

  1. To receive a copy of your submission, please fill out your email address below and submit.