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535 Telfair Street, Suite 520
Augusta, GA 30901
www.keepaugustabeautiful.com
(706)-312-4125
Keepaugbeautifulvm@augustaga.gov
Great Augusta
Clean-Up Program
By completing this application, you and your group agree to abide by all rules and regulations governing this program. Please ensure that you have reviewed the rules and
regulations located on the Keep Augusta Beautiful webpage.
Neighborhood Representative Contact Information
_______________________________
association, please indicate the most centrally located street for the residents using the program)
Name (First, Last): __________________________________________
Address (Street #, Street Name): _____________________________
Address (City, State,
and Zip): __________________________________
Telephone Number: ________________________________
Event Date Information
Date of Scheduled Neighborhood Clean Up: _______________ Time of Clean Up: _________________
Number of residents participating: _______ Are additional volunteers needed? Yes
☐
No
☐
Do you need supplies? Yes ☐
No
☐
property), and gloves
Dumpster Drop-Off Date (must
be the Thursday before proposed Clean Up):__________________
Types of Dumpsters needed (please circle one): Trash Tire Both
Please attach the meeting minutes which show the attendance and the approval of your neighborhood
cleanup.
Please submit by email to keepaugustabeautiful@augustaga.gov
or mail to the address below.
Supplies can be provided. Any unused
supplies must be returned after the
completion of your event.
