Adopt-A-Drain Volunteer Form

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Volunteer Participation Log

Please correct the field(s) marked in red below:

Name

Address:

LIST ALL VOLUNTEERS PARTICIPATING IN THIS PROJECT TO DATE (OCTOBER  – MARCH):
Volunteer Name Work Performed Date of Work Time Start Time End Total Worked
1
2
3
4
5
6
7
8
9
10
Log can be turned in once a month or at the end of each quarter
  • 4th quarter:  October, November, December
  • 1st quarter:  January, February, March

Please contact Surface Water and Environmental Services at:

City of Shoreline
ATTN: Cameron Reed
1750 Midvale Avenue North
Shoreline, WA 98133-4905

Phone (206) 801-2450
FAX (206) 801-2785
creed@shorelinewa.gov

  1. To receive a copy of your submission, please fill out your email address below and submit.