• Calendar of Events
  • Donate Now
Land Stewards Program RegistrationLand Stewards Program RegistrationLand Stewards Program RegistrationLand Stewards Program Registration
  • Home
  • About Us
    • Staff and Leadership
    • Supporters & Partners
    • KPB Recognition
  • Programs
    • Pick Up PA
    • Illegal Dump Free PA
    • Education
    • Land Stewards Adoptions
    • Waste Reduction and Recycling
    • Cigarette Litter Prevention
    • Community Greening & Beautification
    • Pennsylvania Waterway Stewards
  • Affiliate Network
    • Find an Affiliate
    • Become an Affiliate
    • Affiliate Resources
  • Grants & Awards
    • Grants
    • Awards
  • Research
    • 2022 Litter Summit
  • Newsroom
    • News Articles
    • Press Releases
    • Beautiful E-Newsletter
    • Join Our Mailing List
  • Contact Us
✕

Land Stewards Program Registration

  • Home
  • Programs
  • Land Stewards Adoptions
  • Land Stewards Program Registration

Step 1 of 3

33%
I have read and understand the KPB Adoption Program Guidelines(Required)
Program guidelines available here
I have read and understand the KPB Adoption Program Volunteer Safety Guidelines and viewed the Adoption Program video.(Required)
Safety guidelines available here
View the video here or on the main Land Steward Program page.

PRIMARY CONTACT INFORMATION

(must be 18 years of age)
Name(Required)
Address(Required)
Email(Required)

ROAD AND AREA ADOPTION INFORMATION

Type of area(Required)
Select One

Is the road/area safe for volunteers?(Required)
(miles and tenth of miles)
If adoption will be on private property, has written permission been obtained?(Required)
Private roads are not eligible for adoption unless they are open for public use.
If unable to upload letter, please email to Stephanie Larson
Max. file size: 128 MB.

ADDITIONAL INFO FOR COMMUNITY ADOPTIONS

This section is only for municipalities who are registering for a community adoption
Are you a representative for a municipality who is registering an adoption for a community?(Required)
If unable to upload letter, please email to Stephanie Larson
Max. file size: 128 MB.
Is the community in compliance with Act 101?(Required)
(Communities with over 10,000 residents and densely populated municipalities having between 5,000 and 10,000 residents are required to have recycling programs.)

KPB Adoption Sign Example
Recognition Sign Example

Sign set includes:
  • one 30" x 30" Keep Pennsylvania Beautiful Sign
  • One 24" x 12" sign recognizing the adopters
Do you wish to purchase additional sets of signs?(Required)
KPB provides one set of signs free of charge. Additional sets can be purchased for $133. If additional sets are requested, payment methods will be discussed once adoption location is approved by KPB and the maintainer of the property. Payment must be received before sign order is placed.
KPB may edit adoption sign wording requests, but will work closely with the adopter to agree on final wording.
Location to ship signs:
  • Signs will be shipped to the municipality for installation.
  • Please provide the address and name of a contact person.
  • Signs can not be shipped to a post office box.
Municipal Contact Name(Required)
Municipal Shipping Address(Required)

Signature

Keep Pennsylvania Beautiful reserves the right to revoke or refuse an adoption.
By typing your name below you are signing the application and verifying that the primary contact is at least 18 years of age. The primary contact agrees to:
  1. Make safety a top priority and review the KPB safety guidelines and adoption video with all adoption cleanup participants.
  2. Assure all cleanup volunteers sign a liability waiver and parental consent forms for participants under the age of 18. Please contact Stephanie Larson for these forms. Completed forms can be uploaded at the time of reporting.
  3. Secure permission to enter if adoption is on private property.
  4. Coordinate two cleanups per year.
  5. Report your results within 2 weeks of each cleanup.
  6. Provide written notice to Keep Pennsylvania Beautiful in the event that he or she wishes to terminate the adoption.
  7. In consideration for the opportunity to engage in volunteer work through PA CleanWays d/b/a Keep Pennsylvania Beautiful (KPB), I agree for myself, my executors, administrators, heirs, successors and assigns to: (A) waive, release or discharge the following persons and entities from any and all liability for death, disability, personal injury, property damage, property theft or actions of any kind which may hereafter occur to me: KPB, its parent and affiliates, their directors, officers, employees, volunteers, representatives, agents, event holders and landowners whose facilities are being used or whose property is being cleaned (collectively the ‘Released Parties’); and (B) indemnify and hold harmless the Released Parties from any and all liability, claims, actions, suits, procedures, costs, damages, fines, penalties and expenses, including but not limited to attorney’s fees, which arise in connection with my participation in the volunteer activities, without limit and whether caused by the acts or omissions of the Released Parties.
MM slash DD slash YYYY

Contact Us

105 West Fourth Street, 2nd Floor
Greensburg, PA 15601

Telephone: 724.836.4121
Toll-free: 877.772.3673
Fax: 724.836.1980

Email:  info@keeppabeautiful.org

What We Do

  • Pick Up PA
  • Illegal Dump Free PA
  • Litter Prevention
  • Waste Reduction and Recycling
  • Greening & Beautification

 

© 2021 Keep PA Beautiful. All Rights Reserved. {Designed by Chroma Studios}
  • Home
  • About Us
    • Staff and Leadership
    • Supporters & Partners
    • KPB Recognition
    • Back
  • Programs
    • Pick Up PA
    • Illegal Dump Free PA
    • Education
    • Land Stewards Adoptions
    • Waste Reduction and Recycling
    • Cigarette Litter Prevention
    • Community Greening & Beautification
    • Pennsylvania Waterway Stewards
    • Back
  • Affiliate Network
    • Find an Affiliate
    • Become an Affiliate
    • Affiliate Resources
    • Back
  • Grants & Awards
    • Grants
    • Awards
    • Back
  • Research
    • 2022 Litter Summit
    • Back
  • Newsroom
    • News Articles
    • Press Releases
    • Beautiful E-Newsletter
    • Join Our Mailing List
    • Back
  • Contact Us
  • Facebook
  • Twitter
  • YouTube
  • Flickr
  • Instagram
  • LinkedIn
  • PA Fights Dirty!