Water-Wise Village Challenge 2017-18 Pledge Pledge to Conserve Water Question Title * 1. Make your family's water conservation pledge here between August 15, 2017 and April 15, 2018, to earn points toward a donation to your village's scholarship fund. (ONE pledge per household will count towards earning points.) If your pledge is made from August 15 TO OCTOBER 31, 2017, your village earns TRIPLE POINTS! If your pledge is made between NOVEMBER 1 and DECEMBER 31, 2017, your village earns DOUBLE POINTS! For all other pledges made from January 1 until April 15, 2018, ONE POINT will be awarded. YES, I want to conserve water! I pledge to turn off my automated sprinkler system from October 15, 2017 to April 15, 2018. YES, I want to conserve water, but I don't have a sprinkler system. I pledge not to water the grass from October 15, 2017 to April 15, 2018. Question Title * 2. Where did you hear about this pledge? I was referred by my neighbor Village Association: Meeting or VA social media message The Woodlands Community Magazine The Woodlands Township website or blog Other (please specify) Question Title * 3. Have you pledged to conserve water as part of this Challenge in the past? Yes No If YES, how many years have you participated? Question Title * 4. Tell us a bit about yourself: Full Name: * Address: * City: * ZIP: * Email Address: Phone Number: Question Title * 5. What is your village? Alden Bridge Cochran's Crossing College Park Creekside Park Grogan's Mill Indian Springs Panther Creek Sterling Ridge Other (please specify if you do not live in The Woodlands) Question Title * 6. Help your village earn more points toward a scholarship fund donation by referring two neighbors! Provide their names and e-mail addresses and we will announce your pledge and let them know you referred them. When they pledge, it means additional points for your village! Be sure to let your neighbors know we will contact them. First Neighbor's Name E-mail Address Second Neighbor's Name E-mail Address Question Title * 7. A free yard sign showing your support of conserving water is available for pick up at the Environmental Services Department of The Woodlands Township, 8203 Millennium Forest Dr. The Woodlands TX 77381. Office hours: Mon-Fri from 8 a.m. to 5 p.m. Let us know if you will pick up the sign or prefer not to do so below, please. Yes, thank you No, thank you Question Title Question Title * 8. By taking this pledge, you will be signed up with WJPA to receive their weekly watering suggestion email. Please be sure your email address is correct above. You do not have to be a resident of The Woodlands to receive this information. If you do NOT wish to be signed up for this service, check the box below. NO, I do not wish to receive the weekly watering email from WJPA Thank you for completing the water conservation pledge for the 2017-18 Water-Wise Village Challenge! If you have any questions or concerns please contact The Woodlands Township Environmental Services Department at 281-210-3800. Done