Thank you for your participation in the Clermont 20/20 Clean and Green program. The information you provide is extremely important in guaranteeing continued sponsorship of the program. The form may be:
  • mailed to Clermont 20/20 Clean and Green, 119 W Main St, Amelia OH 45102
  • faxed to 513-753-1225
  • or submitted on our website at www.clermont2020.org.
If you are unsure of any totals please estimate. Don't forget to send us copies of newspaper articles and photographs from your community; we compile these into media books for sponsors. Digital photos and articles may be emailed to cleanandgreen@clermont2020.org. Hard copies may be mailed to the address listed above.

If you have any questions, please email cleanandgreen@clermont2020.org, or call 513-753-9222.

General Information

Location: 
Name of coordinating organization: 
Contact person: 
Contact email address: 
Phone number: 
How many years have 
you been participating? 

Totals

Number of participants:       Number of miles cleaned: 
Length of cleanup in hours:       Number of illegal dumpsites cleaned: 
Number of flowers planted:       Number of 30 gallon trash bags filled: 
Kind of flowers were planted: 

Other

If you recycled materials, how many 
bags of recyclable items did you collect? 
What were they? 
What were some of the strangest 
or most noteworthy items found? 
What did you pick up most often? 
Do you have any 
suggestions or comments? 
How did you publicize the event? 


When you press the Submit button, the report information will be forwarded to Julie Toren in the Clermont 20/20 office, and a copy will be sent to the email address you supplied above.