City of Phoenix Adopt a Street Application & Waiver

I certify that I am over 18 years old.
Arizona
  • REQUESTED LOCATION
  • REQUESTED LANGUAGE for ADOPT A STREET SIGN

    • (Maximum 14 characters)

    • (Maximum 14 characters)
     
  • TERMS and CONDITIONS: Initial each line item
  • Indemnify and hold harmless the City of Phoenix from any claims of damages.
  • I have reviewed this application and understand the Adopt A Street Program requirements and agree to the terms and conditions of the program as stated.
  • Before you submit this email form, we would like you to be aware of the city's policy on the use of its email systems. The policy states that the email message you are about to send: (1) is subject to public disclosure under the Public Records Law, (2) is not private or confidential and (3) is retained for one month.