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2. Terms and Conditions
   Adopt-A-Street Agreement
3. I have read and agree to the Terms & Conditions and Waiver of Liability

   1. I agree
5. Street Request

   I would like to adopt the following location. Please list in order of preference. Certain areas are unadoptable including: Preston Road, Dallas North Tollway, 121, Service Roads, roads not maintained by the City, and roads with heavy traffic and/or high speeds. Volunteer Safety is first priority. Prior to finalizing your Adopt-A-Street application, the coordinator will verify the street section with you. If you'd like to know about currently available sections, please email Carter Maciejewski (Cmaciejewski@friscotexas.gov).

7. First Choice: Street*
8. First Choice: Start Cross Street*
9. First Choice: End Cross Street*
11. Second Choice: Street
12. Second Choice: Start Cross Street
13. Second Choice: End Cross Street
15. Third Choice: Street
16. Third Choice: Start Cross Street
17. Third Choice: End Cross Street
19. Name to Appear on Sign (top line)*
21. Name to Appear on Sign (bottom line)*

    Environmental Services has final approval of signs. Please refrain from using slogans, religious themes, websites, or advertisements.

23. Team Leader (responsible signature)*
24. Organization, Club, Family, or Business Affiliation
26. Phone Number*
27. Email Address*
28. Date*
30. Electronic Signature*
    I agree that I have read the terms and conditions and that my team will complete one year (5 cleanups), including turning in all waiver forms which will be completed prior to each cleanup.
Leave This Blank:


32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit

* indicates a required field