Fix-A-Leak Week Completion Form

Diablo Water District is a proud EPA WaterSense Partner. This year, to celebrate Fix-A-Leak Week, we are providing materials to Oakley Union Elementary School classes to participate with us in detecting (and fixing!) leaks! Simply fill out the form below to let us know that your class completed their activity! One classroom will be randomly selected to win a PIZZA PARTY from us!

School Name *

Please select your school

Grade *

Please select what grade the materials are for.

Teacher Name *

First

Last

Email *

Activity Description *

Please note what activity your class participated in and attach any relevant photos if desired.

File Upload

Click or drag files to this area to upload. You can upload up to 5 files.

Notes

Please feel free to add any additional notes!

All completion forms must be submitted to Diablo Water District no later than April 30, 2024 to be entered to win. Winner will be announced May 10, 2024. *

By checking this box, I confirm that my class completed the Fix-A-Leak Week activity.