Form Center

2. Please read prior to submitting
   Complete and submit this form by 8/7/20 to receive a FREE Summer Water Science Activity Kit - The Power of Plants! You must be able to pick up this kit at the Spokane County Water Resource Center (see address and dates/times below). The kit will provide you with the supplies and lesson instructions to bring a water education activity into your home! One kit per household. Supplies limited to first 25 requests. Must attend school in Spokane County. Thank you!
4. Pick Up Dates/Times
   Tuesday, August 11: 3-6pm
   Wednesday, August 12: 10a-1pm
   Thursday, August 13: 3-6pm
5. Pick Up Location
   Spokane County Water Resource Center, 1004 N Freya St
   (SE of the Trent and Freya intersection)
   
   
7. Parent/Guardian First Name*
8. Parent/Guardian Last Name*
10. Email Address*
11. Phone Number
13. First Name of Child
14. Name of School Child Attends*
    If you always home schooled even before quarantining, please just indicate "Home School".
15. Student Grade Level*
    -- Select One --1st grade2nd grade3rd grade4th grade5th grade6th grade

    These kits are intended for elementary aged students.
17. I will plan to pick up the Summer Water Science Kit on:
    -- Select One --Tuesday, August 11, 3-6pmWednesday, August 12, 10am-1pmThursday, August 13, 3-6pm

    Choosing your preferred pick up date ensures we'll have enough kits that day. You may still come another day if need be.
19. Comments / Questions
21. 
22. If you wish to reach us outside of this form submission, you may email wrc@spokanecounty.org. Thank you from the Spokane County Water Resource Center!
Leave This Blank:


24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit Submit and Print

* indicates a required field