Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Share Your Super Water Saver Success Story!

  1. Super Saver Form
  2. Are you a Super Water Saver?

    Share your water-saving success story!

  3. * We will only use your email address to contact you about the Super Saver campaign.

  4. Share a photo(s) of your Super Saver action or behavior.

  5. I hereby grant permission to the City of Santa Rosa to use my likeness and/or that of my child/children and/or family, whether through the use of photographs, film, videotape, or other media, for City promotional and public outreach purposes. I understand that my likeness may be used in City publications, literature, the internet, or other visual means that the City may choose to use to promote the City, its various departments, and its activities. *
  6. I would like to be added to a list of possible people to be interviewed by the press to talk about my Super Water Saver habit or action*
  7. Leave This Blank:

  8. This field is not part of the form submission.