Waterwise Enrollment

3 Additional Ways to Signup:

	1.	Phone: Call 281-486-1105 x327
	2.	Fax: Print, complete, and fax to fax number on the form
	3.	Mail: Print, complete, and mail to address on the form

Yes Yes We want the FREE "Learning to be Waterwise Program" for our classes and include us in the next prize drawings! We want to schedule a date for a FREE 45 minute student presentation / water demo to introduce the program. Participant Information Estimated # of Students Estimated # of Teachers Waterwise Enrollment Form What is the grade of your class? Grade Month (Note: Presentations are reserved on a first-reserve basis and are available on Tuesday, Wednesday or Thursday mornings or afternoons.) School Name School District Teacher or Contact Person Contact Phone Contact Email Enter your participating teachers for the upcoming prize drawings Contact Information Please select the month for delivery of materials Additional Information Enter any comments/questions School Year