Bitter for Litter Trash Submittal

2. 
3. Bitter for Litter Trash Submittal
   The City challenges all residents and businesses to pick up one millions pieces of trash.
5. How many pieces of trash did you collect?*
   Estimate if you are unsure of the exact amount
6. Did you take part in an organized collection?

   1. NO
   2. YES
7. If YES, with which organization?
8. If YES, on what date?
   If YES, on what date?
10. 
11. If available, would you like a promotional t-shirt?

    1. NO
    2. YES

    You will be contacted by City staff on availability due to limited supply. If available, shirts may be picked up at the Cedar Hill Government Center.
12. If YES, what is your preferred size?
13. If your preferred size is not available, what is your second choice?
15. Name*
16. Email
    Required if requesting a t-shirt.
17. Phone Number
    Required if requesting a t-shirt.
19. School Name
    Required for School Challenge
20. Grade Level
    Required for School Challenge
21. Teacher
    Required for School Challenge
23. Photo Upload (optional)
    Upload a photo of your litter pickup
24. Photo Upload (optional)
    Upload a photo of your litter pickup
25. Photo Upload (optional)
    Upload a photo of your litter pickup
Leave This Blank:


27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit

* indicates a required field