Cleanup/Event Sign up form

Project Assistance Request

Use this form to provide information so that we can assist you better. Complete information will help us eliminate multiple emails or phone calls.
Neighborhood Association Name
If Applicable
Volunteer/Non Profit Group Name
If Applicable
Organizer Contact Information
Full Name *

First Name Last Name
Phone *

Area Code Phone Number
E-mail *
On-Site Contact Information

This person agrees to be the primary neighborhood contact person at the event.
Full Name *

First Name Last Name
Cell Phone Number *

Area Code Phone Number
Email
example@example.com
Event Information

Please provide as much information as possible
Is your event in the City limits of Round Rock?

Yes No
To utilize City equipment, the
event must be within the City
limits of Round Rock.
Location of Event
The location must be in incorporated Round Rock (Sorry no MUDs) if using the Tool Lending Center. Enter multiple locations if doing projects in different areas. List main location first.
What are you wanting to provide? *

Helping residents Curb Painting Fire Safety Beautification Project School Project
We need at least two weeks notice for scheduling purposes.
Due to multiple events and staffing concerns it is easier to approve group requests that have the ability to pick up and drop of the borrowed equipment.
Do you have the ability to pick up the equipment you need? (Have a truck or trailer)

Yes No
Date of Event (1st Choice) *

Month Day Year
First Choice
Date of Event (Second Choice)

Month Day Year
Second Choice
Start Time

: Hour Minutes AM/PM Option
End Time

: Hour Minutes AM/PM Option
The event date listed above is?

Monday Tuesday Wednesday Thursday Friday Saturday
Additional comments about the event
Needed if the event will be an extended event or you need to include more information
If you are needing tools from the Tool Lending Center, please list each item and how many you need?
Not needed if utilizing the entire trailer for event. Check out the available tools at: www.roundrocktexas.gov/tools
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Project Assistance Request

Organizer Contact Information

On-Site Contact Information

Event Information