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class="">Stopping an Invasive Species: Water Chestnut</span></a></li><li id="menu-item-9034" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-9034 fusion-dropdown-submenu"><a href="https://web.archive.org/web/20160805053009/http://www.ctriver.org/get-involved/education-river-of-words/"><span class="">Education: River of Words</span></a></li></ul></li><li id="menu-item-9036" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-has-children menu-item-9036 fusion-dropdown-menu"><a href="https://web.archive.org/web/20160805053009/http://www.ctriver.org/river-resources/"><span class="menu-text">River Resources</span></a><ul class="sub-menu"><li id="menu-item-9005" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-9005 fusion-dropdown-submenu"><a href="https://web.archive.org/web/20160805053009/http://www.ctriver.org/river-resources/at-a-glance/"><span class="">At-a-Glance</span></a></li><li id="menu-item-9037" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-9037 fusion-dropdown-submenu"><a href="https://web.archive.org/web/20160805053009/http://www.ctriver.org/river-resources/what-is-a-watershed/"><span class="">What Is A Watershed?</span></a></li><li id="menu-item-9038" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-9038 fusion-dropdown-submenu"><a href="https://web.archive.org/web/20160805053009/http://www.ctriver.org/river-resources/maps/"><span class="">Printable Maps</span></a></li><li id="menu-item-9039" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-9039 fusion-dropdown-submenu"><a href="https://web.archive.org/web/20160805053009/http://www.ctriver.org/river-resources/recreation-resources/"><span class="">Getting Outside To Enjoy Our Rivers</span></a></li><li id="menu-item-9040" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-has-children menu-item-9040 fusion-dropdown-submenu"><a 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Words</span></a><ul class="sub-menu"><li id="menu-item-9051" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-9051"><a href="https://web.archive.org/web/20160805053009/http://www.ctriver.org/river-resources/home/river-of-words-at-a-glance/"><span class="">River of Words At-a-Glance</span></a></li><li id="menu-item-9047" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-9047"><a href="https://web.archive.org/web/20160805053009/http://www.ctriver.org/river-resources/home/project-gallery/"><span class="">Project Gallery</span></a></li><li id="menu-item-9048" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-9048"><a href="https://web.archive.org/web/20160805053009/http://www.ctriver.org/river-resources/home/lesson-plans/"><span class="">Lesson Plans</span></a></li><li id="menu-item-9049" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-9049"><a 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Facts</span></a></li><li id="menu-item-9053" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-9053"><a href="https://web.archive.org/web/20160805053009/http://www.ctriver.org/river-resources/about-our-rivers/migratory-fish/"><span class="">Migratory Fish in Trouble</span></a></li></ul></li><li id="menu-item-9043" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-has-children menu-item-9043 fusion-dropdown-submenu"><a href="https://web.archive.org/web/20160805053009/http://www.ctriver.org/river-resources/links-of-interest/"><span class="">Other Folks Working in the Watershed</span></a><ul class="sub-menu"><li id="menu-item-9054" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-9054"><a href="https://web.archive.org/web/20160805053009/http://www.ctriver.org/river-resources/links-of-interest/silvio-o-conte-national-wildlife-refuge/"><span class="">Silvio O. Conte National Wildlife Refuge</span></a></li></ul></li><li id="menu-item-9044" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-9044 fusion-dropdown-submenu"><a href="https://web.archive.org/web/20160805053009/http://www.ctriver.org/river-resources/library/"><span class="">CRWC’s Library</span></a></li></ul></li><li id="menu-item-9055" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-has-children menu-item-9055 fusion-dropdown-menu"><a href="https://web.archive.org/web/20160805053009/http://www.ctriver.org/news-events/"><span class="menu-text">News & Events</span></a><ul class="sub-menu"><li id="menu-item-9006" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-9006 fusion-dropdown-submenu"><a href="https://web.archive.org/web/20160805053009/http://www.ctriver.org/news-events/at-a-glance/"><span class="">At-a-Glance</span></a></li><li id="menu-item-9057" class="menu-item menu-item-type-post_type 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fusion-dropdown-submenu"><a href="https://web.archive.org/web/20160805053009/http://www.ctriver.org/donate-3/at-a-glance/"><span class="">At-a-Glance</span></a></li><li id="menu-item-9075" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-9075 fusion-dropdown-submenu"><a href="https://web.archive.org/web/20160805053009/http://www.ctriver.org/donate-3/donate/"><span class="">Donate</span></a></li><li id="menu-item-9076" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-9076 fusion-dropdown-submenu"><a href="https://web.archive.org/web/20160805053009/http://www.ctriver.org/donate-3/give-monthly/"><span class="">Give Monthly</span></a></li><li id="menu-item-9077" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-9077 fusion-dropdown-submenu"><a href="https://web.archive.org/web/20160805053009/http://www.ctriver.org/donate-3/join/"><span class="">Join</span></a></li><li id="menu-item-9078" class="menu-item 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href="https://web.archive.org/web/20160805053009/http://www.ctriver.org/donate-3/leaving-a-legacy/"><span class="">Leaving A Legacy</span></a><ul class="sub-menu"><li id="menu-item-9083" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-9083"><a href="https://web.archive.org/web/20160805053009/http://www.ctriver.org/donate-3/leaving-a-legacy/bequests/"><span class="">Bequests</span></a></li><li id="menu-item-9084" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-9084"><a href="https://web.archive.org/web/20160805053009/http://www.ctriver.org/donate-3/leaving-a-legacy/charitable-gift-annuities/"><span class="">Charitable Gift Annuities</span></a></li><li id="menu-item-9085" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-9085"><a href="https://web.archive.org/web/20160805053009/http://www.ctriver.org/donate-3/leaving-a-legacy/long-river-society/"><span class="">Long River Society</span></a></li></ul></li><li id="menu-item-9082" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-9082 fusion-dropdown-submenu"><a href="https://web.archive.org/web/20160805053009/http://www.ctriver.org/donate-3/our-supporters/"><span class="">Our Supporters</span></a></li><li id="menu-item-9072" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-has-children menu-item-9072 fusion-dropdown-submenu"><a href="https://web.archive.org/web/20160805053009/http://www.ctriver.org/donate-3/sponsorships/"><span class="">Sponsorship Opportunities</span></a><ul class="sub-menu"><li id="menu-item-9086" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-9086"><a href="https://web.archive.org/web/20160805053009/http://www.ctriver.org/donate-3/sponsorships/supply-wish-list/"><span class="">Supply Wish List</span></a></li></ul></li><li id="menu-item-9073" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-9073 fusion-dropdown-submenu"><a href="https://web.archive.org/web/20160805053009/http://www.ctriver.org/donate-3/workplace-giving/"><span class="">Workplace Giving</span></a></li><li id="menu-item-9074" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-9074 fusion-dropdown-submenu"><a href="https://web.archive.org/web/20160805053009/http://www.ctriver.org/donate-3/crwc-valley-gives/"><span class="">Valley Gives</span></a></li></ul></li><li id="menu-item-9088" class="menu-item menu-item-type-post_type menu-item-object-page menu-item-9088"><a href="https://web.archive.org/web/20160805053009/http://www.ctriver.org/email-sign-up/"><span class="menu-text">Email Sign-up</span></a></li></ul></div> <div class="fusion-mobile-nav-holder"></div> <div class="fusion-secondary-menu-search"><form role="search" class="searchform" method="get" action="https://web.archive.org/web/20160805053009/http://www.ctriver.org/"> <div class="search-table"> <div class="search-field"> <input type="text" value="" name="s" class="s" placeholder="Search ..."/> </div> <div class="search-button"> <input type="submit" class="searchsubmit" value=""/> </div> </div> </form> </div> </div> </div> </div>  </div> <div class="fusion-clearfix"></div> </div> <div id="sliders-container"> </div> <div class="fusion-page-title-bar fusion-page-title-bar-breadcrumbs fusion-page-title-bar-left"> <div class="fusion-page-title-row"> <div class="fusion-page-title-wrapper"> <div class="fusion-page-title-captions"> <h1>Report Trash Site</h1> </div> <div class="fusion-page-title-secondary"><div class="fusion-breadcrumbs"><span><a href="https://web.archive.org/web/20160805053009/http://www.ctriver.org/"><span>Home</span></a></span><span class="fusion-breadcrumb-sep">/</span><span><a href="https://web.archive.org/web/20160805053009/http://www.ctriver.org/projects/"><span>Projects</span></a></span><span class="fusion-breadcrumb-sep">/</span><span><a href="https://web.archive.org/web/20160805053009/http://www.ctriver.org/projects/source-to-sea-cleanup/"><span>Source to Sea Cleanup</span></a></span><span class="fusion-breadcrumb-sep">/</span><span class="breadcrumb-leaf">Report Trash Site</span></div></div> </div> </div> </div> <div id="main" class="clearfix width-100" style="padding-left:30px;padding-right:30px"> <div class="fusion-row" style="max-width:100%;"><div id="content" class="full-width"> <div id="post-1929" class="post-1929 page type-page status-publish hentry"> <div class="post-content"> <h2>Does your town have a dirty litter secret?</h2> <div class="gf_browser_unknown gform_wrapper" id="gform_wrapper_6"><form method="post" enctype="multipart/form-data" id="gform_6" action="/web/20160805053009/http://www.ctriver.org/projects/source-to-sea-cleanup/report-trash/"> <div class="gform_heading"> <h3 class="gform_title">Trash Report Form</h3> <span class="gform_description"></span> </div> <div class="gform_body"><ul id="gform_fields_6" class="gform_fields top_label form_sublabel_below description_above"><li id="field_6_29" class="gfield gsection field_sublabel_below field_description_above"><h2 class="gsection_title"></h2><div class="gsection_description">Have you walked along a river or stream bank recently and found discarded cans and plastic bottles, fast food containers or other trash spoiling a beautiful natural place? If so, you can do something about it. In the last few years, several cases of ongoing pollution have been stopped thanks to reports from concerned residents of the watershed. And some decades-old violations have been brought to the attention of local authorities. <br> <br> We will inform local volunteer groups and Source to Sea Cleanup groups about reported trash sites. By helping us to identify sites early, you have taken a really important step toward a clean and healthy river. Thank you for taking the time to report a site in need of help! </div></li><li id="field_6_1" class="gfield gsection field_sublabel_below field_description_above"><h2 class="gsection_title">Site Information</h2><div class="gsection_description">Please provide clear and complete directions to the trash site.</div></li><li id="field_6_2" class="gfield gfield_contains_required field_sublabel_below field_description_above"><label class="gfield_label" for="input_6_2">Date you found this site:<span class="gfield_required">*</span></label><div class="ginput_container"> <input name="input_2" id="input_6_2" type="text" value="" class="datepicker medium mdy datepicker_no_icon" tabindex="1"/> </div> <input type="hidden" id="gforms_calendar_icon_input_6_2" class="gform_hidden" value="http://www.ctriver.org/wp-content/plugins/gravityforms/images/calendar.png"/></li><li id="field_6_4" class="gfield gfield_contains_required field_sublabel_below field_description_above"><div id="gfgeo-advanced-address-6_4-geocoder-id" class="gfgeo-advanced-address-geocoder-id" data-geocoder_id="" style="display:none"></div><label class="gfield_label" for="input_6_4_3">Where is the site located?<span class="gfield_required">*</span></label> <div class="ginput_complex ginput_container has_city has_state" id="input_6_4"> <span class="ginput_left address_city" id="input_6_4_3_container"> <input type="text" name="input_4.3" id="input_6_4_3" value="" tabindex="3"/> <label for="input_6_4_3" id="input_6_4_3_label">City</label> </span><span class="ginput_right address_state" id="input_6_4_4_container"> <select name="input_4.4" id="input_6_4_4" tabindex="4"><option value="" selected="selected"></option><option value="Alabama">Alabama</option><option value="Alaska">Alaska</option><option value="Arizona">Arizona</option><option value="Arkansas">Arkansas</option><option value="California">California</option><option value="Colorado">Colorado</option><option value="Connecticut">Connecticut</option><option value="Delaware">Delaware</option><option value="District of Columbia">District of Columbia</option><option value="Florida">Florida</option><option value="Georgia">Georgia</option><option value="Hawaii">Hawaii</option><option value="Idaho">Idaho</option><option value="Illinois">Illinois</option><option value="Indiana">Indiana</option><option value="Iowa">Iowa</option><option value="Kansas">Kansas</option><option value="Kentucky">Kentucky</option><option value="Louisiana">Louisiana</option><option value="Maine">Maine</option><option value="Maryland">Maryland</option><option value="Massachusetts">Massachusetts</option><option value="Michigan">Michigan</option><option value="Minnesota">Minnesota</option><option value="Mississippi">Mississippi</option><option value="Missouri">Missouri</option><option value="Montana">Montana</option><option value="Nebraska">Nebraska</option><option value="Nevada">Nevada</option><option value="New Hampshire">New Hampshire</option><option value="New Jersey">New Jersey</option><option value="New Mexico">New Mexico</option><option value="New York">New York</option><option value="North Carolina">North Carolina</option><option value="North Dakota">North Dakota</option><option value="Ohio">Ohio</option><option value="Oklahoma">Oklahoma</option><option value="Oregon">Oregon</option><option value="Pennsylvania">Pennsylvania</option><option value="Rhode Island">Rhode Island</option><option value="South Carolina">South Carolina</option><option value="South Dakota">South Dakota</option><option value="Tennessee">Tennessee</option><option value="Texas">Texas</option><option value="Utah">Utah</option><option value="Vermont">Vermont</option><option value="Virginia">Virginia</option><option value="Washington">Washington</option><option value="West Virginia">West Virginia</option><option value="Wisconsin">Wisconsin</option><option value="Wyoming">Wyoming</option><option value="Armed Forces Americas">Armed Forces Americas</option><option value="Armed Forces Europe">Armed Forces Europe</option><option value="Armed Forces Pacific">Armed Forces Pacific</option></select> <label for="input_6_4_4" id="input_6_4_4_label">State</label> </span><input type="hidden" class="gform_hidden" name="input_4.6" id="input_6_4_6" value="United States"/> <div class="gf_clear gf_clear_complex"></div> </div></li><li id="field_6_30" class="gfield gfgeo-hidden-fields gfgeo_geocoder field_sublabel_below field_description_above"><label class="gfield_label" for="input_6_30">Geocoder</label><div class="ginput_container ginput_gfgeo_geocoder"><div id="gfgeo-geocoded-hidden-fields-wrapper-6_30" class="gfgeo-geocoded-hidden-fields-wrapper"><input type="hidden" id="input_6_30_status" name="input_30[status]" class="gfgeo-geocoded-field-6_30 status gfgeo-geocoded-field-status" data-field_id="6_30" value=""><input type="hidden" id="input_6_30_street_number" name="input_30[street_number]" class="gfgeo-geocoded-field-6_30 street_number gfgeo-geocoded-field-street_number" data-field_id="6_30" value=""><input type="hidden" id="input_6_30_street_name" name="input_30[street_name]" class="gfgeo-geocoded-field-6_30 street_name gfgeo-geocoded-field-street_name" data-field_id="6_30" value=""><input type="hidden" id="input_6_30_street" name="input_30[street]" class="gfgeo-geocoded-field-6_30 street gfgeo-geocoded-field-street" data-field_id="6_30" value=""><input type="hidden" id="input_6_30_premise" name="input_30[premise]" class="gfgeo-geocoded-field-6_30 premise gfgeo-geocoded-field-premise" data-field_id="6_30" value=""><input type="hidden" id="input_6_30_neighborhood" name="input_30[neighborhood]" class="gfgeo-geocoded-field-6_30 neighborhood gfgeo-geocoded-field-neighborhood" data-field_id="6_30" value=""><input type="hidden" id="input_6_30_city" name="input_30[city]" class="gfgeo-geocoded-field-6_30 city gfgeo-geocoded-field-city" data-field_id="6_30" value=""><input type="hidden" id="input_6_30_county" name="input_30[county]" class="gfgeo-geocoded-field-6_30 county gfgeo-geocoded-field-county" data-field_id="6_30" value=""><input type="hidden" id="input_6_30_region_code" name="input_30[region_code]" class="gfgeo-geocoded-field-6_30 region_code gfgeo-geocoded-field-region_code" data-field_id="6_30" value=""><input type="hidden" id="input_6_30_region_name" name="input_30[region_name]" class="gfgeo-geocoded-field-6_30 region_name gfgeo-geocoded-field-region_name" data-field_id="6_30" value=""><input type="hidden" id="input_6_30_postcode" name="input_30[postcode]" class="gfgeo-geocoded-field-6_30 postcode gfgeo-geocoded-field-postcode" data-field_id="6_30" value=""><input type="hidden" id="input_6_30_country_code" name="input_30[country_code]" class="gfgeo-geocoded-field-6_30 country_code gfgeo-geocoded-field-country_code" data-field_id="6_30" value=""><input type="hidden" id="input_6_30_country_name" name="input_30[country_name]" class="gfgeo-geocoded-field-6_30 country_name gfgeo-geocoded-field-country_name" data-field_id="6_30" value=""><input type="hidden" id="input_6_30_address" name="input_30[address]" class="gfgeo-geocoded-field-6_30 address gfgeo-geocoded-field-address" data-field_id="6_30" value=""><input type="hidden" id="input_6_30_formatted_address" name="input_30[formatted_address]" class="gfgeo-geocoded-field-6_30 formatted_address gfgeo-geocoded-field-formatted_address" data-field_id="6_30" value=""><input type="hidden" id="input_6_30_latitude" name="input_30[latitude]" class="gfgeo-geocoded-field-6_30 latitude gfgeo-geocoded-field-latitude" data-field_id="6_30" value=""><input type="hidden" id="input_6_30_longitude" name="input_30[longitude]" class="gfgeo-geocoded-field-6_30 longitude gfgeo-geocoded-field-longitude" data-field_id="6_30" value=""></div></div></li><li id="field_6_31" class="gfield field_sublabel_below field_description_above"><label class="gfield_label" for="input_6_31">Map</label><div class="gfield_description">Drag this pin to your trash site on the map. Please be as accurate as possible. Zoom in as needed. Once you've placed your pin, it will automatically fill in the latitude/longitude below. This information is very important because it helps us find the exact location you are reporting. </div><div class="ginput_container ginput_container_gfgeo_map"><div id="gfgeo-map-wrapper-6_31" class="gfgeo-map-wrapper"><div id="gfgeo-map-6_31" class="gfgeo-map" data-geocoder_id="6_30" data-map_id="6_31" data-latitude="42.587496" data-longitude="-72.600161" data-map_type="HYBRID" data-zoom_level="7" data-draggable="true" data-scrollwheel="true" data-map_marker="" style="height:600px;width:450px"></div></div></div></li><li id="field_6_25" class="gfield gfgeo-geocoded-field-6_30 gfgeo-latitude field_sublabel_below field_description_above"><label class="gfield_label" for="input_6_25">Latitude</label><div class="ginput_container"><input name="input_25" id="input_6_25" type="text" value="" class="medium" tabindex="7"/></div></li><li id="field_6_26" class="gfield gfgeo-geocoded-field-6_30 gfgeo-longitude field_sublabel_below field_description_above"><label class="gfield_label" for="input_6_26">Longitude</label><div class="ginput_container"><input name="input_26" id="input_6_26" type="text" value="" class="medium" tabindex="8"/></div></li><li id="field_6_9" class="gfield gfield_contains_required field_sublabel_below field_description_above"><label class="gfield_label" for="input_6_9">Type(s) of trash at the site:<span class="gfield_required">*</span></label><div class="ginput_container"><input name="input_9" id="input_6_9" type="text" value="" class="medium" tabindex="9"/></div></li><li id="field_6_3" class="gfield field_sublabel_below field_description_above"><label class="gfield_label" for="input_6_3">Brief Description of the trash site:</label><div class="gfield_description">Is it forested, marshy, on a steep bank? Is it visible or accessible only from the road, only from the water or both? Help us understand what this site is like. </div><div class="ginput_container"> <textarea name="input_3" id="input_6_3" class="textarea medium" tabindex="10" rows="10" cols="50"></textarea> </div></li><li id="field_6_10" class="gfield field_sublabel_below field_description_above"><label class="gfield_label" for="input_6_10">Attach photos of the trash or the site:</label><div class="ginput_container"><input type="hidden" name="MAX_FILE_SIZE" value="8388608"/><input name="input_10" id="input_6_10" type="file" class="medium" aria-describedby="extensions_message" tabindex="11"/><span id="extensions_message" class="screen-reader-text"></span></div></li><li id="field_6_11" class="gfield field_sublabel_below field_description_below"><label class="gfield_label" for="input_6_11"></label><div class="ginput_container"><input type="hidden" name="MAX_FILE_SIZE" value="8388608"/><input name="input_11" id="input_6_11" type="file" class="medium" aria-describedby="extensions_message" tabindex="12"/><span id="extensions_message" class="screen-reader-text"></span></div><div class="gfield_description">Additional photos can be emailed to cleanup@ctriver.org. Mention this trash report when emailing photos. </div></li><li id="field_6_6" class="gfield gfield_contains_required field_sublabel_below field_description_above"><label class="gfield_label" for="input_6_6">Name of the nearest road or crossroads:<span class="gfield_required">*</span></label><div class="ginput_container"><input name="input_6" id="input_6_6" type="text" value="" class="medium" tabindex="13"/></div></li><li id="field_6_5" class="gfield field_sublabel_below field_description_above"><label class="gfield_label" for="input_6_5">Name of water body (river, stream, lake, etc.):</label><div class="ginput_container"><input name="input_5" id="input_6_5" type="text" value="" class="medium" tabindex="14"/></div></li><li id="field_6_7" class="gfield field_sublabel_below field_description_above"><label class="gfield_label" for="input_6_7">Landmark(s) on the nearest road or from the water:</label><div class="ginput_container"><input name="input_7" id="input_6_7" type="text" value="" class="medium" tabindex="15"/></div></li><li id="field_6_8" class="gfield field_sublabel_below field_description_above"><label class="gfield_label" for="input_6_8">Property owner, if known:</label><div class="ginput_container"><input name="input_8" id="input_6_8" type="text" value="" class="medium" tabindex="16"/></div></li><li id="field_6_12" class="gfield gsection field_sublabel_below field_description_above"><h2 class="gsection_title">Cleanup Information</h2></li><li id="field_6_14" class="gfield field_sublabel_below field_description_above"><label class="gfield_label" for="input_6_14">Are boats or special equipment needed for cleanup? If so, explain:</label><div class="ginput_container"><input name="input_14" id="input_6_14" type="text" value="" class="medium" tabindex="17"/></div></li><li id="field_6_15" class="gfield field_sublabel_below field_description_above"><label class="gfield_label" for="input_6_15">Estimated number of volunteers this site needs for cleanup:</label><div class="gfield_description">Give us a ballpark idea. Could 2 people handle it, does it need 20, or more? </div><div class="ginput_container"><input name="input_15" id="input_6_15" type="text" value="" class="medium" tabindex="18"/></div></li><li id="field_6_16" class="gfield field_sublabel_below field_description_above"><label class="gfield_label" for="input_6_16">Is this site suitable for children under 12?</label><div class="gfield_description">Sites suitable for children include those that are relatively safe. No steep banks or sharp, dangerous trash items. </div><div class="ginput_container"><select name="input_16" id="input_6_16" class="medium gfield_select" tabindex="19"><option value="Yes, ok for children">Yes, ok for children</option><option value="No, adults only">No, adults only</option><option value="I'm not sure">I'm not sure</option></select></div></li><li id="field_6_17" class="gfield field_sublabel_below field_description_above"><label class="gfield_label" for="input_6_17">Any other notes or suggestions about this site that we should know?</label><div class="ginput_container"> <textarea name="input_17" id="input_6_17" class="textarea medium" tabindex="20" rows="10" cols="50"></textarea> </div></li><li id="field_6_18" class="gfield gsection field_sublabel_below field_description_above"><h2 class="gsection_title">About You</h2><div class="gsection_description">We may follow up if we have additional questions, need help finding this trash site, or to see if the trash is still there. We will never share your information without your permission. </div></li><li id="field_6_19" class="gfield field_sublabel_below field_description_above"><label class="gfield_label" for="input_6_19_3">Name</label><div class="ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix" id="input_6_19"> <span id="input_6_19_3_container" class="name_first"> <input type="text" name="input_19.3" id="input_6_19_3" value="" aria-label="First name" tabindex="22"/> <label for="input_6_19_3">First</label> </span> <span id="input_6_19_6_container" class="name_last"> <input type="text" name="input_19.6" id="input_6_19_6" value="" aria-label="Last name" tabindex="24"/> <label for="input_6_19_6">Last</label> </span> </div></li><li id="field_6_20" class="gfield field_sublabel_below field_description_above"><label class="gfield_label" for="input_6_20">Phone</label><div class="ginput_container"><input name="input_20" id="input_6_20" type="text" value="" class="medium" tabindex="26"/></div></li><li id="field_6_21" class="gfield field_sublabel_below field_description_above"><label class="gfield_label" for="input_6_21">Email</label><div class="ginput_container"> <input name="input_21" id="input_6_21" type="text" value="" class="medium" tabindex="27"/> </div></li><li id="field_6_22" class="gfield field_sublabel_below field_description_above"><label class="gfield_label" for="input_6_22">How did you hear about this trash report form?</label><div class="ginput_container"><input name="input_22" id="input_6_22" type="text" value="" class="medium" tabindex="28"/></div></li><li id="field_6_23" class="gfield gsection field_sublabel_below field_description_above"><h2 class="gsection_title">Thank you for helping to keep our rivers cleaner.</h2><div class="gsection_description">Be sure to click SUBMIT below to send this information to CRWC. </div></li> </ul></div> <div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_6" 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