Thanks so much for organising a graffiti paint out event in your local community. Keeping New Zealand beautiful is a mammoth job and we couldn’t do it without you! Keep New Zealand Beautiful is a registered charity and every year we have to procure funds to be able to provide Adopt-a-Spot kits and resources free of charge to groups such as yours. With your help we can produce a credible report that shows just how successful our community pride events are. With accurate participation numbers, information about the site, where the event took place and supporting photos we’re able to continue our work to keep New Zealand clean, safe and beautiful. We really appreciate you taking a couple of minutes to help us out. Adopt-a-Spot evaluation First name* Last name* Email* Phone number*What is the name of your organisation?* What is the address of where the graffiti was found?* Street address Suburb City Post code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Please include a street number at or close to the site.What council region are you situated within?*Ashburton District CouncilAuckland CouncilBuller District CouncilCarterton District CouncilCentral Hawke's Bay District CouncilCentral Otago District CouncilChatham Islands CouncilChristchurch City CouncilClutha District CouncilDunedin City CouncilFar North District CouncilGisborne District CouncilGore District CouncilGrey District CouncilHamilton City CouncilHastings District CouncilHauraki District CouncilHorowhenua District CouncilHurunui District CouncilHutt City CouncilInvercargill City CouncilKaikoura District CouncilKaipara District CouncilKapiti Coast District CouncilKawerau District CouncilMackenzie District CouncilManawatu District CouncilMarlborough District CouncilMasterton District CouncilMatamata-Piako District CouncilNapier City CouncilNelson City CouncilNew Plymouth District CouncilOpotiki District CouncilOtorohanga District CouncilPalmerston North City CouncilPorirua City CouncilQueenstown-Lakes District CouncilRangitikei District CouncilRotorua District CouncilRuapehu District CouncilSelwyn District CouncilSouth Taranaki District CouncilSouth Waikato District CouncilSouth Wairarapa District CouncilSouthland District CouncilStratford District CouncilTararua District CouncilTasman District CouncilTaupo District CouncilTauranga City CouncilThames-Coromandel District CouncilTimaru District CouncilUpper Hutt City CouncilWaikato District CouncilWaimakariri District CouncilWaimate District CouncilWaipa District CouncilWairoa District CouncilWaitaki District CouncilWaitomo District CouncilWellington City CouncilWestern Bay of Plenty District CouncilWestland District CouncilWhakatane District CouncilWhanganui District CouncilWhangarei District CouncilHow many volunteers were involved?*Did your event have more volunteers than expected?* Yes No If yes, how many more?What was the total number of volunteer hours?*Estimate if required.What is the approximate area you painted in square meters?*Did an accident/incident occur at your eveny?* Yes No If yes, please complete an Incident Report Form included in your Adopt-a-Spot resources.Please provide a summary of your event and any feedback*Please feel free to upload a photo from the day. By uploading these images your consent is given to use the images for marketing purposes. Drop files here or Select files Accepted file types: jpg, gif, png, pdf, jpeg, Max. file size: 8 MB, Max. files: 2. Thank you for taking the time to complete your evaluation! This information is invaluable to us in our mission to Keep New Zealand Beautiful.
