Adopt-A-Path Application

1. Adopt-A-Path is a program for periodic litter pick-up on pathways. If you have already adopted a path and need to report information, please use the Adopt-A-Path Log Activity form.

2. First name:*

3. Last name:*

4. Email:

5. Telephone:*

   Enter the phone number without any characters. Example: 2813632447.

6. Address:*

7. City:*

8. State:*

9. ZIP:*

10. Preferred method of response:*
    -- Select One --EmailTelephoneMail

11. Please describe the pathway location by referencing the intersection of the closest street or streets.

12. Village in which pathway is located
    -- Select One --Alden BridgeCochran's CrossingCollege ParkCreekside ParkGrogan's MillIndian SpringsPanther CreekSterling Ridge

13. If you are adopting a path on behalf of a group or organization, how do you wish to identify your group?

Leave This Blank:


14. 1. Receive email copy
15. Email address

16. Submit Submit and Print

* indicates a required field