El Paso Water Wise Badge Program Submission Form
Please fill out all required fields * and each submission field listed for the merit #s you have completed. Note: some merits have multiple fields to submit. Question? Feel free to connect with EPWater’s Conservation team at (915)621-2000 or tech2o@epwater.org
Name
*
First Name
Last Name
Email
*
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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I'd like to pick up my badge at TecH2O Learning Center, 10751 Montana Ave (79935)
Phone Number
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Age
*
Merit 1: Test your toilet(s) for leaks – Be a responsible toilet owner!
How many toilets did you test?
Merit 1: Test your toilet(s) for leaks – Be a responsible toilet owner!
Did you find any leaks?
Merit 2: Creative Expression – Indoor & Outdoor Water Conservation Tips
Title & description of creative expression
Merit 2: Creative Expression – Indoor & Outdoor Water Conservation Tips
Browse Files
Drag and drop files here
Choose a file
upload file for Merit 2: Only pdf, doc, docx, xls, xlxs, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, png, gif are allowed.
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Merit 3: Passport Program – Visit EPWater’s TecH2O Water Resources Learning Center
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Month
-
Day
Year
Date of visit
Merit 3: Passport Program – Visit EPWater’s TecH2O Water Resources Learning Center
What is the most fascinating thing you learned at the TecH2O Center?
Merit 4: Informative Interview – Explore El Paso Water Career Pathways
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Month
-
Day
Year
Date of interview
Merit 4: Informative Interview – Explore El Paso Water Career Pathways
Name, title, and department of Interviewee
Merit 4: Informative Interview – Explore El Paso Water Career Pathways
What is the most fascinating thing you learned from the interview?
Merit 5: Calculation – Understand Your Water Use
What is the gpm (gallons per minute) of your faucet?
Merit 5: Calculation – Understand Your Water Use
What is the gpm (gallons per minute) of your showerhead?
Merit 5: Calculation – Understand Your Water Use
What is the gpf (gallons per flush) of your toilet?
Merit 6: Read Aloud – Storytime with Willie the Waterdrop
How many people did you read aloud to?
Merit 6: Read Aloud – Storytime with Willie the Waterdrop
What language did you read aloud in?
Merit 7: Learn – tech2o.org El Paso-centric Water Lesson
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Month
-
Day
Year
Date Completed
Merit 7: Learn – tech2o.org El Paso-centric Water Lesson
Name of lesson
Merit 7: Learn – tech2o.org El Paso-centric Water Lesson
What is the most fascinating thing you learned from this lesson?
Merit 8: Water Warrior Productions – Produce a Water Wise media message
Title of media message
Merit 8: Water Warrior Productions – Produce a Water Wise media message
Description/Artist Statement
Merit 8: Water Warrior Productions – Produce a Water Wise media message
using YouTube or Vimeo or other system, provide link to your video.
Merit 8: Water Warrior Productions – Produce a Water Wise media message
Browse Files
Drag and drop files here
Choose a file
upload file for Merit 8: Only pdf, doc, docx, xls, xlxs, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, png, gif are allowed.
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Date
*
-
Month
-
Day
Year
Today's Date
PRIVACY NOTICE: By entering the El Paso Water Wise Badge Program, you grant EPWater perpetual, royalty-free license to use your artwork, photo or video, in any media format for commercial purposes. You grant this entity permission to edit, modify, format, or adapt your artwork/photo/video for its purposes and at its discretion. Except for the El Paso Water Wise badge awarded to program participants, no other compensation will be paid to any participant for the submission or for future use of the submission in any manner. The personal information you submit will only be used to contact you if there is a question or issue regarding your submission or its content. We will not disclose, give, sell, or transfer any personal information about you, unless required by applicable law. As your submission may be made available to the public, you should not include personal information about yourself or anyone else.
*
I acknowledge and accept sharing of my program materials for education and outreach purposes
I decline sharing any of my program material
Adult Approval: By clicking the "Approved" button below, I acknowledge that I am a responsible adult confirming that the name on this form has successfully completed the claimed merits while actively self-engaging in the learning process.
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APPROVED!
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