West Windsor Clean Streets Program
Individual Record
Managed by FOWWOS
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DATE
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NAME
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Adult or Child?
(A or C)*
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ADDRESS
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LOCATION CLEANED
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TIME WORKED
(hours)
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1
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2
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3
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4
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5
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6
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7
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8
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9
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10
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11
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12
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13
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14
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15
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When you complete your clean up, please deposit your trash with your household trash pickup.
BE CAREFUL WALKING ON TOWNSHIP STREETS
Participants shall not hold FOWWOS or its Trustees responsible for any accident or injury as a result of participation in the Clean Streets Program.
If you are under 18, please get approval to participate from your guardian and/or parent.
When you complete your clean up, please print out and fill in this form and mail it to FOWWOS at the address below, or you may call Elliot Kleiman at 799-8372 or email
ek61@juno.com with the information. Thanks for your help