Harris-Galveston Subsidence District
Serving the Gulf Coast Community Since 1975

Waterwise Enrollment Form

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3 Additional Ways to Signup:

 

1.

Phone: Call 281-486-1105 x327

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2.

Fax: Print, complete, and fax to fax number on the form

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3.

Mail: Print, complete, and mail to address on the form

Items with an * are required.
(Note: Presentations are reserved on a first-reserve basis and are available on Tuesday, Wednesday or Thursday mornings or afternoons.)
Contact Information
*School Year:
 
*Month:
 Please select the month for delivery of materials  
*Teacher or Contact Person:
 
*Contact Phone:
   (###-###-####)
*Contact Email:
 
*School Name:
 
*School District:
 
Participant Information
*Estimated # of Students:
 
*Estimated # of Teachers:
 
*Grade:
 What is the grade of your class?  
Enter your participating teachers for the upcoming prize drawings:
 
 
 
 
Additional Information
 
Enter any comments/questions:
 
 
 
1660 W. Bay Area Boulevard  •  Friendswood, TX 77546-2640
Phone: (281) 486-1105  •  Fax: (281) 218-3700
www.subsidence.org