Adopt-A-Creek Application

Location

I would like to adopt the following location(s), if available:

Creek Name:
Creek Segment (please describe the boundaries of the section you would like to adopt including the nearest street intersection)
Is there public access?
Creek Zip Code:
Creek Segment Length:

Group Information

Group Name:		Type of Group:	(None) After-school Group Business Faith Based Informal Youth Group Neighborhood Non-Profit Other School Scout/Troop
# of Volunteers:
First Name:		Last Name:
Address:
City:		State:	AL AK AS AZ AR CA CO CT DE DC FM FL GA GU HI ID IL IN IA KS KY LA ME MH MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND MP OH OK OR PW PA PR RI SC SD TN TX UT VT VI VA WA WV WI WY	Zip:
Daytime Phone:		Evening Phone:
Email:		Confirm Email:
Alternate Contact
First Name:		Last Name:
Address:
City:		State:	AL AK AS AZ AR CA CO CT DE DC FM FL GA GU HI ID IL IN IA KS KY LA ME MH MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND MP OH OK OR PW PA PR RI SC SD TN TX UT VT VI VA WA WV WI WY	Zip:
Daytime Phone:		Evening Phone:
Email:

Please remember:

• Your group must adopt at least a quarter mile of creek within the City of Austin for at least two years.
• Your group must agree to clean your adopted creek four times per year or more.
• Not all locations are available, but KAB will work with your group to find a location in need.
• WPDR will provide an Adopt-a-Creek tile with your group's name after an agreement has been signed.
• KAB will provide your group with supplies and Safety Guidelines if needed.

Keep Austin Beautiful, 55 North I 35, Suite 215, Austin, TX 78702
Telephone Number: 512.391.0617 / Fax Number: 512.391.0624