Form Center

2. First Name*
3. Last Name*
5. Email*
6. Would you like to receive our monthly newsletter?

   The CBWCD newsletter provides district news, landscaping tips, and calendar reminders of upcoming workshops and events. Your email address will not be distributed or used for any other purpose.

   1. Yes

   1. No
8. Phone*
9. I am a:*

   1. Resident
   2. Business/HOA/Commercial Property
11. Company Name
12. Title*
14. Participating Property Location(s)
16. Address*
17. City*
19. State
20. Zip code*
22. Typical Availability

    Please mark all times/days that you are typically available for an audit. 

24. Monday*

    1. 7:30-9:00 a.m.
    2. 9:00-10:30 a.m.
    3. 10:30 a.m.-12:00 p.m.
    4. Not available
25. Tuesday*

    1. 7:30-9:00 a.m.
    2. 9:00-10:30 a.m.
    3. 10:30 a.m.-12:00 p.m.
    4. Not available
26. Wednesday*

    1. 7:30-9:00 a.m.
    2. 9:00-10:30 a.m.
    3. 10:30 a.m.-12:00 p.m.
    4. Not available
28. Thursday*

    1. 7:30-9:00 a.m.
    2. 9:00-10:30 a.m.
    3. 10:30 a.m.-12:00 p.m.
    4. Not available
29. Friday*

    1. 7:30-9:00 a.m.
    2. 9:00-10:30 a.m.
    3. 10:30 a.m.-12:00 p.m.
    4. Not available
31. Notes

    Is there anything else you would like us to know?

33. Necessary Requirements for an Irrigation Evaluation*

    We receive a high volume of requests for irrigation evaluations. Check the boxes below to agree that your landscape fulfills the necessary requirements for us to provide this service. This ensures that your appointment time will be best utilized and that the service is a good match for your landscape.

    1. My irrigation system is currently operable.
    2. My irrigation controller is readily accessible.
    3. I agree that CBWCD will not physically repair or modify my irrigation system but can provide recommendations.
    4. I agree that if I need to cancel an appointment, I will call/email at least 24 hours in advance.
    5. I agree that CBWCD is not obligated to reschedule a 'no show' appointment, due to the high volume of audit requests processed.
Leave This Blank:


35. Submit

* indicates a required field