This form needs to be signed by each volunteer participating in the cleanup. All participants under the age of 18 must have a parent or guardian signature. A copy must be sent to the Program Coordinator and the group leader should keep the original. If any new volunteers participate during following cleanups and did not sign the original, have them sign and send an updated copy to the Program Coordinator.

Download the form

CONTACT INFORMATION

Jeff Welchman, Adopt-a-Street Program Coordinator
County of Sacramento
Department of Transportation
4100 Traffic Way
Sacramento, CA 95827
(916) 875-ROAD (875-7623)
Fax (916) 875-5773
welchmanj@saccounty.net

Steve McCrumb, Adopt-a-Street Program Manager
916-875-4434
McCrumbS@saccounty.net