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Youth Programs
Elementary School Programs
Water Explorers
National Theatre for Children
Conservation Captains
Middle and High School Programs
MeterHero
Water-Wise Workshops
After-School & Camps
Youth Event Support
Conservation Treasures Grant
Clues in the Creek
Art Contests
Water Champion Guide
Meet the Educators
What Teachers Say
Volunteer
Contact Us
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Elementary School Programs
Water Explorers
National Theatre for Children
Conservation Captains
Middle and High School Programs
MeterHero
Water-Wise Workshops
After-School & Camps
Youth Event Support
Conservation Treasures Grant
Clues in the Creek
Art Contests
Water Champion Guide
Meet the Educators
What Teachers Say
Volunteer
Contact Us
Water-Wise Workshops Request Form
Request Form for Water-Wise Workshops
School Name
*
School District
*
School Address
*
School Address
Street Number and Name
Street Number and Name
Additional Information
Additional Information
City
City
State/Province
Alabama
Alaska
Arkansas
Arizona
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State/Province
Zip/Postal
Zip/Postal
Primary Contact Name
*
School, teacher or administrator only.
Primary Contact Title
*
Primary Contact Phone
*
In case of questions on the day of the presentation.
Primary Contact Email
*
Personal or work, whichever is best to reach you.
Secondary Contact Name
Different teacher or administrator - in case of difficulty reaching the primary contact.
Secondary Contact Title
Secondary Contact Phone
Secondary Contact Email
Requested Lesson
*
Aquatic Exploration (Outdoors)
Clean Water Chemistry (Indoors)
Engineering H2O (Indoors)
Life-Giving Gardens (Indoors or Outdoors)
Rain Catchers (Indoors or Outdoors)
Water Detectives (Indoors or Outdoors)
Water Quality Investigation (Outdoors)
Ready, Set, Garden! (Indoors or Outdoors)
Water Supply IQ (Indoors)
We are able to provide one lesson to multiple classes in one school day.
Requested Week
*
Please select the Sunday at the beginning of your requested week. Please give at least 1 week advance notice.
Preferred Date
*
If requesting multiple days for multiple teachers, please submit a separate request for each date.
Grade Level
*
6
7
8
9
10
11
12
Total Number of Classes
*
1
2
3
4
5
6
1st Program: Start Time
*
12
1
2
3
4
5
6
7
8
9
10
11
:
00
01
02
03
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53
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55
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58
59
AM
PM
1st Program: End Time
*
12
1
2
3
4
5
6
7
8
9
10
11
:
00
01
02
03
04
05
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51
52
53
54
55
56
57
58
59
AM
PM
Name of Teacher
*
Classroom/ Location
*
Number of Students (min 12)
*
2nd Program: Start Time
12
1
2
3
4
5
6
7
8
9
10
11
:
00
01
02
03
04
05
06
07
08
09
10
11
12
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41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
AM
PM
2nd Program: End Time
12
1
2
3
4
5
6
7
8
9
10
11
:
00
01
02
03
04
05
06
07
08
09
10
11
12
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41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
AM
PM
Name of Teacher
Classroom/ Location
Number of Students (min 12)
3rd Program: Start Time
12
1
2
3
4
5
6
7
8
9
10
11
:
00
01
02
03
04
05
06
07
08
09
10
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40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
AM
PM
3rd Program: End Time
12
1
2
3
4
5
6
7
8
9
10
11
:
00
01
02
03
04
05
06
07
08
09
10
11
12
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14
15
16
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41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
AM
PM
Name of Teacher
Classroom/ Location
Number of Students (min 12)
4th Program: Start Time
12
1
2
3
4
5
6
7
8
9
10
11
:
00
01
02
03
04
05
06
07
08
09
10
11
12
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39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
AM
PM
4th Program: End Time
12
1
2
3
4
5
6
7
8
9
10
11
:
00
01
02
03
04
05
06
07
08
09
10
11
12
13
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40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
AM
PM
Name of Teacher
Classroom/ Location
Number of Students (min 12)
5th Program: Start Time
12
1
2
3
4
5
6
7
8
9
10
11
:
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
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20
21
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29
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35
36
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39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
AM
PM
5th Program: End Time
12
1
2
3
4
5
6
7
8
9
10
11
:
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
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18
19
20
21
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25
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41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
AM
PM
Name of Teacher
Classroom/ Location
Number of Students (min 12)
6th Program: Start Time
12
1
2
3
4
5
6
7
8
9
10
11
:
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
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25
26
27
28
29
30
31
32
33
34
35
36
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39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
AM
PM
6th Program: End Time
12
1
2
3
4
5
6
7
8
9
10
11
:
00
01
02
03
04
05
06
07
08
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10
11
12
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41
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45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
AM
PM
Name of Teacher
Classroom/ Location
Number of Students (min 12)
Laptop/Projector: Do you have a laptop and projector available for our use? These are not needed but if available, we can add visuals.
*
Yes
No
Questions? Special Requests? Information you would like to share?
How did you hear about us?
*
Friend/Colleague/Teacher
PD Workshop
Direct Email
savetarrantwater.com
The Monthly Drop Newsletter
TRWD Event
Other
How did you hear about us?
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