Barrow County, GA · Barrow County
Adopt-A-Road Program Application and Agreement
This agreement lets civic groups, nonprofit organizations, and other interested parties commit to cleaning litter from a section of Barrow County roadway.
At a glance
- Issued by
- City of Barrow County · Barrow County, Barrow County, Georgia
- Notarization
- Not required: file this form without a notary.
- Official source
- barrowga.org
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
Organizations use this document to take responsibility for picking up litter on a specified county roadway and to list planned cleanup dates. It asks for the adopting organization’s name, road and mile location, mailing address, authorized signature, and telephone number. The document also includes a post-cleanup report and an event-planning checklist for participants.
Who needs it
Civic groups, nonprofit organizations, and other interested parties that want to adopt a section of Barrow County roadway for litter cleanup need this agreement.
How to submit it
For the post-cleanup report, email or drop it off to Danielle Austin, Executive Director, Keep Barrow Beautiful, at 30 North Broad Street, Winder, Georgia 30680, or [email protected].
About notarization
This document is signed without a notary; the authorized signer signs the agreement, and the document does not identify a notarized attachment or related step.
How to submit this form
- 1
Download the Agreement
Download the Adopt-A-Road Program Application and Agreement PDF.
- 2
Complete the Organization Details
Enter the organization name, road and mile location, mailing address, planned cleanup dates, and contact details.
- 3
Sign the Agreement
Have an authorized representative sign the agreement.
- 4
Send the Follow-Up Report
After cleanup, email or drop off the completed follow-up form to Keep Barrow Beautiful using the contact details in the document.
Frequently asked questions
- What does the Barrow County Adopt-A-Road agreement do?
- It records an organization’s commitment to pick up litter along a specified section of county roadway and includes planned cleanup dates.
- Who can use this Adopt-A-Road document?
- Civic organizations, nonprofit organizations, and other interested parties can use it to take responsibility for litter cleanup on a county roadway.
- How do I submit the post-cleanup report?
- Email or drop off the completed report to Danielle Austin, Executive Director, Keep Barrow Beautiful, at the address or email listed in the document.
- Do I need a notary for this Adopt-A-Road agreement?
- No. The document has no notary block; the authorized signer signs the agreement, and it does not identify a notarized attachment or related step.