2012 Great American Cleanup  Registration Form

Sign up for Keep Newnan Beautiful's

Annual Great American Cleanup!

What is it?  This spring, your group can make a visible difference in Newnan by joining us for the Keep Newnan Beautiful  Great American Cleanup™! Millions of residents across the country are taking part in this springtime campaign to clean up and  beautify all of America.

Why should you do it?  This year, we expect more than two million volunteers to participate in the Great American Cleanup™ nationwide.  Keep Newnan Beautiful is seeking volunteers for our Great American Cleanup™ activities, which will run from March 1 to May 31 – and there are several ways in which your group can participate:

•Call Keep Newnan Beautiful and select a site to clean up during the designated timeframe

•Join other volunteer groups for the large-scale cleanup effort being planned for Sat., March 24.

_______________________________________________________________________________________

Yes, we want to take part in the activities checked below for the Great American Cleanup:

______  Litter removal on Saturday, March 24th

______ Litter removal on an alternate date chosen by your group (please fill in your choice of date below)

Name of Volunteer Group: ___________________________________________________________

Contact Person(s): _________________________________________________________________

Daytime Phone: ____________________________  Email: _________________________________

Full Mailing Address: _______________________________________________________________

_______________________________________________________________________________

Approximate Number of Volunteers: ________________ Preferred Event Date:____________________

Preferred  Event Location(s): __________________________________________________________

Special Notes/Needs: ________________________________________________________________

Signature of  Volunteer/Group Leader: ___________________________________________________

                                                                                               If under 18, Signature of Parent or Guardian

REGISTERED VOLUNTEERS may arrange to pick up cleanup supplies beginning March 1st at the KNB office located at 6 First Avenue, Newnan, Georgia 30263. Please call to schedule your pickup at 770-253-8283.

PLEASE COMPLETE THIS FORM AND RETURN TO KEEP NEWNAN BEAUTIFUL

By Mail: Keep Newnan Beautiful, 6 First Avenue, Newnan, Georgia 30263

By Fax: 770-253-8753

By email: cduffey@cityofnewnan.org