SWIM

SWIM project proposal form

To request storm drain marker kits for your community project submit the following completed form or print out and mail to:

Harris County Watershed Protection Group
10555 Northwest Freeway, Suite 220
Houston, TX 77092

Or fax to 713-956-3080

***Please schedule your SWIM kit pick-up between 7:30 AM - 11:30 PM and 1:00 PM - 4:30 PM Monday through Friday (Minimum: 10 markers per request)

Please provide us with the following information:

What is the name of your organization?

What type of organization (school, civic assoc., professional, business, church, etc.) ?

Name of project coordinator

Phone number of project coordinator

Contact Email

What is physical location of your project? Address

City

State

Zip Code

Neighborhood(s)

What is the estimated number of volunteers you will have for your project?

What are your estimated project hours?

How many storm drains do you plan to mark? (Minimum: 10 markers per request)

What is the start date of your project?

Where did you hear about the SWIM Program?

Would you like to view an instructional PowerPoint regarding safety and proper marker installation? Yes No

(Click Here to download)

Please review and/or download the Instructional and Safety Presentation

Important Note: Please don’t forget to complete the SWIM Project Waiver Form. To receive your SWIM Kit, ALL participants must sign the waiver. Anyone under 18 years of age requires a parent/guardian signature. Harris County will exchange the signed waivers for a SWIM Kit on the day of pickup.

Check Out a SWIM Kit

Harris County will provide a SWIM Kit (unless all kits are checked out) that include the following: Traffic Cones, Safety Flags, Bright Colored Safety Vests, Scrub Brushes, and Rubber Gloves. The kit will also contain the desired number of SWIM Markers and *tubes of adhesive. The number of safety equipment items will vary depending on the size of the project. *Every tube of adhesive allows for the placement of 10 markers. (Ex. 100 markers requires 10 tubes of adhesive)

All SWIM Kits must be returned after a project is complete. Name

Address

City

State

Zip Code

What is the RETURN date for your SWIM Kit?
(2 Week Maximum from Project Completion Date)
Please email or call a day ahead to schedule the return of your SWIM Kit. Harris County sincerely appreciates your participation and assistance in protecting our enviornment.

SWIM

SWIM project proposal form

Check Out a SWIM Kit

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