This form is for Fountain Valley Authority Water Treatment Plant Tour only.

Requester Information

School/Organization Name:

Contact First Name:

Contact Last Name:

Phone Number:

(xxx) xxx-xxxx

E-mail Address:

Organization Website:

Fountain Valley Authority Water Treatment Plant
13250 Ray Nixon Road, Fountain, CO 80817

Age Requirement: Fifth grade or 10 years and up
Group size: Maximum 20 attendees
Tour length: 60 - 90 minutes, depending on age group and specific needs
Day Offered: Tuesday or Thursday
Start Time: between 9 - 10 a.m.

Tour Description:

Participants observe how Colorado Springs Utilities cleans and treats water to produce high-quality safe drinking water that meets all federal and state drinking water quality standards. Learn about the water treatment processes including traditional methods of coagulation/flocculation, sedimentation, filtration and disinfection used to provide the highest quality drinking water for five different communities on the southern side of Colorado Springs.

Preferred date of tour

If preferred date is not available, second choice:

Choose one time

9 am9:30 am10 am

Plant Tours are not available during the weeks that Colorado Springs Utilities observes a holiday.

(Martin Luther King Jr. Day, President's Day, Memorial Day, Independence Day, Labor Day, Veteran's Day, Thanksgiving and Christmas)

Number of People:

Schools must provide one adult chaperone for every 10 children (minimum)

Do any attendees have any special needs?

YesNo

if yes, please list

Do any attendees have a fear of height or loud noices?

YesNo

Please include information on special study or interest.

Additional comments or requests:

Tour and Security Policies

I have read and I understand the tour and security policies

Yes

Name

5th grade	6th grade
7th grade	8th grade
9th grade	10th grade
11th grade	12th grade
Adults