Section 1 of 4 in this document

Adopt-a-Bike Path Program Application

Group/Organization Name

Group Coordinator Phone Number

Group Coordinator Email Address

Mailing Address

Address or Location

Section 2 of 4 in this document

Group Information

What name would you want to appear on your segment identifier signs?

What is the approximate number of people that will be participating in each litter pickup?

Section 3 of 4 in this document

Bike Path Segment Selection

We will attempt to honor all requests on a first come, first serve basis. However, we do recommend designated alternates in the event your first choice is unavailable.

Select your first choice Bike Path Segment:

Select your second choice Bike Path Segment:

Select your third choice Bike Path Segment

Adopt-a-Bike Path Program Application

Group Coordinator Name

Mailing Address

Group Information

Bike Path Segment Selection