Adopt A Park & Public Areas Interest Form

    THIS FORM MAY BE USED TO BEGIN THE SITE ADOPTION PROCESS FOR ANY NEW PROJECTS (one-time, or ongoing), OR TO UPDATE CONTACT INFORMATION FOR EXISTING PROJECTS - please check: New projectUpdated contact info-Existing project

    Community organization or business name (required):

    Organization/business postal mailing address:

    City State Zip Code

    Lead project coordinator name:

    Phone number:
    Work: Personal:

    Email Address:
    Work: Personal (please fill in again if same):

    Alternate coordinator name:

    Phone Number:
    Work: Personal:

    Email Address:
    Work: Personal (please fill in the same work email if not different):

    Park, street or public area the group would like to adopt (or select below the types of projects you would be interested in, and include here the nearest intersection/crossroads for matching your group with the nearest appropriate location):

    ParkMajor StreetNeighborhood StreetWashPath/Trail

    Preferred project date (or start date for permanent projects):

    Please mark type of litter cleanup project: Ongoing/permanent (at least monthly)One-time

    Estimated # of participants:

    Age range of participants:

    Volunteers under 18 require adult supervision and they are not allowed on streets with speed limits above 25 mph.


    Note: Tucson Clean & Beautiful, the City of Tucson, and Pima County are not responsible for injuries or
    damages sustained as a result of volunteer participation in Adopt-a-Park and Public Areas program activities.

    By typing my name here and pressing submit, I agree to the above liability waiver/age restriction and to follow all program protocols.

    Organization/business representative signature:

    Date:

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