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Clean-Up, Project & Task Report Form

  1. PRT Logo Block 800x200
  2. Cleanup / Project / Task Report Form
  3. Program Participating In (Please check box)
  4. Cleanup / Project / Task Information
  5. Volunteer Information
  6. Trash Information
  7. Recycling Information
  8. Safety & Orientation Confirmation

    By typing my/our name(s) below, I/we confirm that a Safety & Orientation meeting was held with volunteers prior to the start of the above project. 

  9. Photos: Please take photos of your cleanup or project with a "Keep Chesapeake Beautiful" flag and upload them below. Photo file size should be 10 MB maximum.
  10. You may also email photos to but please make sure you include details like your organization name, date and location of project, etc.
  11. Leave This Blank:

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