Welcome

Thank you for your interest in volunteering with the Adopt-a-Street program!

Your involvement plays a key role in helping keep Cornwall clean and beautiful. Once we receive your registration, one of our volunteers will be in touch with you soon. We appreciate your commitment to making a positive impact in our community!

Full Name

Address

Phone Number

Cell number

Email Address

Are you a new volunteer?

Are you renewing your application?

What is your preferred method of communication?

Emergency contact name:

Emergency contact phone number:

Emergency contact cell number:

Relationship with emergency contact:

How often will you be collecting litter?

Where will you be collecting litter? Please be as detailed as possible with street names, location, number of blocks, trail, park, etc.

How many volunteers are in your group?

What type of volunteer are you?

How did you learn about the Adopt-a-Street program?

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Welcome