Type of Adoption *
RoadShoreBus StopParkIslandPalm Bay

*Road and Bus Stop adoptions are only available for groups with volunteers that are 16 years or older, due to safety concerns.

Adoption Team Name *

Adoption Location *

Adoption City/Town *

Adopting Business/Organization Name (if applicable)

Anticipated Number of Volunteers *

Anticipated Frequency of Cleanup Events *

Team Leader Name *

Email *

Phone *

Contact Address *

Our group agrees to extend our litter removal agreement with Keep Brevard Beautiful for a total of one year. This commitment is for a minimum of 4 quarterly cleanups. The group leader agrees to turn in a cleanup report including the following information: adoption team name, location, date, time, and the # of bags collected.