Request a Stormwater Speaker or Appearance

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? <br><br> 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?<br><br> 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. <br><br> Please fill out this form to let us know what you are looking for and we will be in touch with you soon.

   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

Leave This Blank:


20. 1. Receive an email copy of this form.
21. Email address

    This field is not part of the form submission.

22. Submit

* indicates a required field