City of Phoenix Adopt a Street Application & Waiver

The Adopt-A-Street program enables community organizations, private businesses and individuals to help maintain and beautify Phoenix streets. Please fill out this form if you are interested in participating in the program.

*denotes required field

Entity Name
Contact Name
	I certify that I am over 18 years old.
Address
City		State	Arizona	Zip
Phone			Email

REQUESTED LOCATION

Street Name

From/To

REQUESTED LANGUAGE for ADOPT A STREET SIGN

(Maximum 14 characters)

TERMS and CONDITIONS: Initial each line item

Indemnify and hold harmless the City of Phoenix from any claims of damages.

Each person will be required to furnish and wear a safety vest and/or brightly colored clothing.

Minors under the age of 18 must be accompanied by a parent or a responsible adult.

No work will be permitted in the street or median islands.

No work will be permitted beyond daylight hours.

Sidewalks and traffic lanes are to be kept open and unobstructed at all times.

A minimum of four clean-ups per year (at least one every three months) is required.

Contact must be made with Adopt A Street coordinator after each clean-up.

A two year commitment is required.

I have reviewed this application and understand.

Before you submit this form, please be aware of the city's policy on use of its systems. The message you are about to send is subject to public disclosure under the Public Records Law. It is not private or confidential and is retained for 90 days.

City of Phoenix Adopt a Street Application & Waiver

REQUESTED LOCATION

In Person:

By Phone:

About Phoenix

Accommodation