The City of Grove City Parks & Recreation Department
Kingston Center, 3226 Kingston Ave., Grove City, OH 43123 GroveCityOhio.gov 614-277-3050
facebook.com/GroveCityOhio • twitter.com/GroveCityOhio • instagram.com/GroveCityOhio
KEEP GROVE CITY BEAUTIFUL
LITTER CLEANUP REGISTRATION
CONTACT INFORMATION
ORGANIZATION
LAST NAME FIRST NAME MI
HOME ADDRESS CITY STATE ZIP
EMAIL DAYTIME PHONE CELL/OTHER PHONE
Does your organization, group or family want to organize a little cleanup in a special area of Grove
City? Keep Grove City Beautiful will supply the materials to assist! We appreciate your help keeping our
community free of litter and looking great for citizens and visitors.
For more information on this and other cleanup projects or the Keep Grove City Beautiful
program, contact Environmental Recreation Supervisor Linda Rosine at 614-277-3058 or
LRosine@GroveCityOhio.gov.
CLEANUP INFORMATION
CLEANUP LOCATION DATE TIME
ESTIMATED NUMBER OF VOLUNTEERS
ADULTS CHILDREN
SUPPLIES
DATE REQUESTED PICKUP DATE DATE RETURNED
OFFICE CONFIRMATION
SIGNATURE DATE
SUPPLIES
ITEM # NEEDED ITEM # NEEDED
TRASH BAGS Please return unused. SAFETY VESTS Return after event.
GLOVES Please return unused. PICKUP STICKS Return after event.
CARDBOARD
TRASH BOXES Recycle after use.