Adopt a Street application form

Please complete the form, below, if you would like to volunteer to keep your street clean.

This application form must be completed by an adult. Any under 18s should be included as an additional applicant on this form and must be supervised by an adult whilst taking part in the Adopt a Street scheme.

If you would like information about how we use your data please see our privacy notices.

First name:

Last name:

Address line 1:

Address line 2:

City/Town

Postcode:

Will other members from your house volunteer with you?

Yes

Please provide their names:

Contact number:

Email address:

Will litter picker(s) be required?

Yes

Will High Visibility vest(s) be required?

Yes

Please tick to confirm that this application has been completed by an adult. Any under 18s should be included as an additional applicant on this form and will be supervised by an adult whilst taking part in the Adopt a Street scheme.

Give website feedback

Adopt a Street application form

Sign up to the Wokingham Borough Council Newsletter