Classroom Presentations Request Form

Is your school a customer of the City of Corona Department of Water and Power? *

Only schools that are customers of the City of Corona Department of Water and Power qualify for this program. If you are interested in presentations for your class, find out which water department serves your school.

Teacher/School Information

First Name *

Last Name *

School Name *

School District *

School Address *

Teacher's Phone Number *

Teacher's Email Address *

Information about Your Students and the Presentation

Number of students *

Grade level(s) *

What dates or days of the week would be best for you? *

What time of day do you want? *

Tell us more about what you want from this presentation and how we can help you (optional)

Tell us anything else you'd like us to know (optional)