2. 
3. Adopt Cedar Hill Advanced Notification Requirement

   The City must be notified seven (7) days in advance of the exact date of the cleanup so that arrangements can be made to have the trash bags disposed of promptly. Failure to make proper notification may result in denial.

5. Name of Adopter/ Applicant/ Organization*
6. Contact Person/ Authorized Representative*
7. Phone Number*
8. Email*
10. Date and Time of Cleanup*
    Date and Time of Cleanup

    Date and Time of Cleanup
11. Location of Cleanup*
12. How many participants?*
14. All requests for cleanup supplies and trash pickup must be made at least seven (7) days prior to the cleanup event. If this timeline is not met, your request may not be fulfilled.

    Supplies will be available for pick up at Development Services on the 2nd floor of the  Cedar Hill Government Center, 285 Uptown Blvd, the Friday before your scheduled cleanup event.

16. What supplies do you need?*

    Only check items that you need. 

    If you need additional reusable supplies (trash grabbers, safety vests, or gloves) please reach out to Environmental Services directly at 972-291-5100 x 2888 or at Environmental@cedarhilltx.com after submitting this form.

    1. YES, I need trash bags.
    2. YES, I need cooling towels (summer cleanups only).
    3. YES, I need beanies (winter cleanups only)
    4. NO, I do not need ANY supplies.
17. Do you need staff to pick up your filled trash bags?*

    1. YES, please pick up my trash bags.
    2. NO, I will dispose of my trash bags.

    Place filled trash bags under the Adopt Cedar Hill sign or next to the closest public trash bin if the cleanup is in a park.

21. Required Form
    Cleanup Report

    Cleanup Report must be submitted within five (5) days of a scheduled cleanup event to receive credit. Photos are highly encouraged.

22. Required Form
    Safety Tips for Volunteers (PDF)

    Hand a copy of the safety tips to every volunteer OR read aloud before the cleanup event begins.

Leave This Blank:


23. 1. Receive an email copy of this form.
24. Email address

    This field is not part of the form submission.

25. Submit

* indicates a required field