Welcome to City of High Point Form Center

2. Stormwater Outreach
   Would you like someone from the Stormwater Division to visit your group to speak about ways to keep our waterways clean and healthy?
   
   Whether it is a scout troop, elementary school class, college student group, or a lunch and learn our staff is ready to bring the message of water health to you! Did you know we can bring Lenny the Lifeguard to your event?
   
   Additionally, if you have an event for which you would like us to set up an informational booth, we can bring stickers, brochures, and our knowledge to share.
   
   Please fill out this form to let us know what you are looking for and we will be in touch with you soon.
3. 
5. Name*
6. Group
8. Phone Number
9. Email Address
10. Preferred Method of Contact
    -- Select One --EmailPhone
12. Address
14. City
15. State
    -- Select One --AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
16. Zip Code
18. Request*
    -- Select One --SpeakerBooth SetupOther (please specify)
19. Additional Comments
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21. 1. Receive an email copy of this form.
22. Email address

    This field is not part of the form submission.

23. Submit

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