Adopt-A-Program Contact Update Form

Adopt-A-Program Contact Update Form

We appreciate your participation in our Adopt-a-Program and your commitment to the City of Greensboro! This form will ensure we have your contact information for future participation. If you are a new group or organization interested in the Adopt-a-Program or a past (inactive for the last two years) group or organization, you will need to apply for that program.

To apply:

Program	How to Apply
Adopt-a-Stream	Adopt-a-Stream Application

Adopt-a-Park	Contact Volunteer Coordinator at adopt-a@greensboro-nc.gov or 336-373-5707
Adopt-a-Street
Adopt-a-Trail

For questions about any of our programs:

Program	Contact
Adopt-a-Stream	watervolunteers@greensboro-nc.gov or 336-373-2055

Adopt-a-Park	Volunteer Coordinator at adopt-a@greensboro-nc.gov or 336-373-5707
Adopt-a-Street
Adopt-a-Trail

Anyone who submits a form should be aware that in accordance with the North Carolina Public Records law, found in North Carolina General Statutes Chapter 132, their e-mail address is considered public record.

New Contact Information
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Cell Phone*
Format: (000) 000-0000.
Cell PhoneEmail
Secondary Contact Information

We recognize that some organizations or groups periodically change leadership, so we require a secondary contact to be listed. Please enter the name and contact information for a person in your organization who can be a backup point of contact regardless of leadership changes.
Secondary Contact Name*

First NameLast Name
Secondary Contact Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Secondary Contact Cell Phone*
Format: (000) 000-0000.
Secondary Contact Email*
example@example.com
Cell PhoneEmail
Adopt-a-ParkAdopt-a-StreamAdopt-a-StreetAdopt-a-Trail

Adopt-a-Stream
What is the current name of your group or organization for the Adopt-a-Stream program?*
Who was the last leader associated with your organization?* (Please list a name & any additional information you can share)*
When providing adopted stream location information, it is essential to be very specific and provide as many details as possible.

Examples of location details:
- Street name: example, Horse Pen Creek Rd, near Quaker Run Rd.
- Intersection: Intersection of Horse Pen Creek Rd and Battleground Rd
- Corner: The corner of Horsepen Creek Rd and Drawbridge Pkwy
Where is your Adopt-a-Stream sign located? Please provide streets and closest intersections.*

To verify the location(s) listed above, we are asking for a screenshot of each location.

Capture a screenshot

Click: Adopt-a-Stream Map Link
Find and zoom to the general location of the desired stream including neighboring streets.
Take a screenshot of the map and save it.
You will be asked to upload the screenshot(s) within this form.

YesI don't know how to do that
Upload the screenshot you took from the Adopt-a-Stream Map:*

Cancelof

Adopt-A-Program Contact Update Form

Adopt-a-Park

Adopt-a-Stream

Adopt-a-Street

Adopt-a-Trail