School: *
-- Select School (if applicable) -- Other -------------------------------------------------------- Academy High Academy High Anderson Mill Elementary Bagdad Elementary Bartlett Elementary Bartlett High Bartlett Middle Barton Middle Bastrop High Bastrop Intermediate Benold Middle Berkman Elementary Bertram Elementary Blackland Prairie Elementary Blanco Vista Elementary Block House Elementary Bluebonnet Elementary Bastrop ISD Blue Bonnet Elementary Round Rock ISD Booker T. Washington Elementary Brown Primary Brushy Creek Elementary Buda Elementary Burden Elementary Burnet Elementary Burnet High Burnet Middle C.D. Fulkes Middle Cactus Ranch Elementary Caldwell Heights Elementary Callison Elementary Camino Real Elementary Canyon Creek Elementary Canyon Ridge Middle Canyon Vista Middle Caraway Elementary Carver Elementary Cedar Creek Elementary Cedar Park High Cedar Park Middle Cedar Ridge High Cedar Valley Middle Chapa Middle Chisholm Trail Middle Cooper Elementary Cottonwood Creek Elementary Coupland Elementary Cox Elementary Cypress Elementary Dahlstrom Middle Deep Wood Elementary Deer Creek Elementary Deerpark Middle Double File Trail Elgin Elementary Elgin High Elgin Middle Elm Grove Elementary Emile Elementary Farley Middle Faubion Elementary Fern Bluff Elementary Florence Elementary Florence High Florence Middle Forbes Middle Ford Elementary Forest Creek Elementary Forest North Elementary Frost Elementary Fuentes Elementary Gattis Elementary Genesis High Georgetown High GHS 9th Grade Giddens Elementary Grandview Hills Elementary Granger Elementary Granger Secondary Great Oaks Elementary Green Elementary Grishan Middle Hays High Hemphill Elementary Henry Middle Hopewell Middle Hutto Elementary Hutto High Hutto Middle Jarrell Elementary Jarrell High Jarrell Middle Jollyville Elementary Knowles Elementary Kyle Elementary Laura W. Bush Elementary Laurel Mountain Elementary Leander High Leander Middle Lehman High Lexington Elementary Lexington High Lexington Middle Liberty Hill Elementary Liberty Hill High Liberty Hill Intermediate Liberty Hill Middle Live Oak Elementary Lost Pines Elementary Mason Elementary McCoy Elementary McNeil High Mina Elementary Mitchell Elementary Nadine Johnson Elementary Naomi Pasemann Elementary Naumann Elementary Negley Elementary Neidig Elementary Northside Elementary Old Town Elementary Parkside Elementary Phoenix High Pickett Elementary Plain Elementary Pleasant Hill Elementary Pflugerville Middle School Pond Springs Elementary Purl Elementary Purple Sage Elementary R.J. Richey Elementary Ray Elementary Reagan Elementary Red Rock Elementary Richarte High Ridgeview Middle River Place Elementary Robertson Elementary Round Rock High Rouse High Running Brushy Middle Rutledge Elementary Science Hall Elementary Shady Grove Elementary Simon Middle Smithville Elementary Smithville High Smithville Middle Sommer Elementary Spicewood Elementary Steiner Ranch Elementary Stony Point 9th Grade Stony Point High T.H. Johnson Elementary Taylor High Taylor Middle Teravista Elementary Thorndale Elementary Thorndale High Thorndale Middle Thrall Elementary Thrall High Thrall Middle Tippit Middle Tobias Elementary Union Hill Elementary Vandegrift High Veterans Hill Elementary Village Elementary Vista Ridge High Voigt Elementary Wallace Middle Walsh Middle Wells Branch Elementary Westside Elementary Westwood High Whitestone Elementary Wiley Middle Williams Elementary Winkley Elementary

First Name: *


Last Name: *


Zip Code: *


E-mail: *


Age: *


How did you hear about us?: *
Newspaper Television Advertisement Radio Internet Work School Friend Other

Pick your three things: * (Select one task from each list)
DRIVE SMART Have my vehicle regularly tuned-up Check my vehicle’s tire pressure at least once a month Fix my vehicle promptly if the check engine light comes on Park or turn off my vehicle whenever possible, instead of idling Drive during off-peak times and plan routes to avoid congestion Drive the speed limit Drive smoothly, minimizing quick acceleration and braking DRIVE LESS Share a ride to work or school at least twice a month Combine my errands eliminating single trips Bring my lunch at least twice a week to school or work Take the bus to work or school at least once a week Walk to lunch at least once a week Ride my bike to school or work at least twice a week Work from home at least twice a month POWER DOWN Turn off my computer everyday Unplug all of my unused appliances everyday Turn off the lights every time I leave a room Turn off the lights at the end of each workday Close the refrigerator or freezer door promptly each time Replace old or broken appliances with energy efficient ones Replace burned out light bulbs with energy saving compact fluorescent light bulbs Install solar landscape lighting instead of electric landscape lighting Set my thermostat to an energy-saving 80 degrees from June-October Use ceiling fans to cool whenever possible Install ceiling fans in my home where practical Use my energy efficient temperature settings on my washer and dryer every time Air dry my clothes when possible PUT IT OFF Operate my dishwasher after 7:00 p.m. Run my washer and or dryer after 7:00 p.m. Use gasoline powered lawn and garden equipment only after 6:00 p.m. Refuel my vehicle after 6:00 p.m. ZAP EVAPORATION Properly store and cover gasoline, paint and solvents in a shady area of my garage or work area Park my car in the garage or in the shade Use manual or electric lawn equipment instead of gasoline powered When painting or staining use low VOC products When barbequing use a manual charcoal starter instead of lighter fluid COOL IT Plant at least one tree to provide shade on the south or west side of my house Install awnings on my home BE IN THE KNOW Tell at least one friend about becoming an Ozone Action Hero Check to see if your employer offers commuting incentives Check with your utility company for energy efficiency or conservation rebates Check on federal or state incentives for buying clean or alternative fueled vehicles Sign up for ozone watch and warning alerts at www.cleanairforce.org or http://www.tceq.state.tx.us/compliance/monitoring/air/monops/ozone_email.html

DRIVE SMART Have my vehicle regularly tuned-up Check my vehicle’s tire pressure at least once a month Fix my vehicle promptly if the check engine light comes on Park or turn off my vehicle whenever possible, instead of idling Drive during off-peak times and plan routes to avoid congestion Drive the speed limit Drive smoothly, minimizing quick acceleration and braking DRIVE LESS Share a ride to work or school at least twice a month Combine my errands eliminating single trips Bring my lunch at least twice a week to school or work Take the bus to work or school at least once a week Walk to lunch at least once a week Ride my bike to school or work at least twice a week Work from home at least twice a month POWER DOWN Turn off my computer everyday Unplug all of my unused appliances everyday Turn off the lights every time I leave a room Turn off the lights at the end of each workday Close the refrigerator or freezer door promptly each time Replace old or broken appliances with energy efficient ones Replace burned out light bulbs with energy saving compact fluorescent light bulbs Install solar landscape lighting instead of electric landscape lighting Set my thermostat to an energy-saving 80 degrees from June-October Use ceiling fans to cool whenever possible Install ceiling fans in my home where practical Use my energy efficient temperature settings on my washer and dryer every time Air dry my clothes when possible PUT IT OFF Operate my dishwasher after 7:00 p.m. Run my washer and or dryer after 7:00 p.m. Use gasoline powered lawn and garden equipment only after 6:00 p.m. Refuel my vehicle after 6:00 p.m. ZAP EVAPORATION Properly store and cover gasoline, paint and solvents in a shady area of my garage or work area Park my car in the garage or in the shade Use manual or electric lawn equipment instead of gasoline powered When painting or staining use low VOC products When barbequing use a manual charcoal starter instead of lighter fluid COOL IT Plant at least one tree to provide shade on the south or west side of my house Install awnings on my home BE IN THE KNOW Tell at least one friend about becoming an Ozone Action Hero Check to see if your employer offers commuting incentives Check with your utility company for energy efficiency or conservation rebates Check on federal or state incentives for buying clean or alternative fueled vehicles Sign up for ozone watch and warning alerts at www.cleanairforce.org or http://www.tceq.state.tx.us/compliance/monitoring/air/monops/ozone_email.html

DRIVE SMART Have my vehicle regularly tuned-up Check my vehicle’s tire pressure at least once a month Fix my vehicle promptly if the check engine light comes on Park or turn off my vehicle whenever possible, instead of idling Drive during off-peak times and plan routes to avoid congestion Drive the speed limit Drive smoothly, minimizing quick acceleration and braking DRIVE LESS Share a ride to work or school at least twice a month Combine my errands eliminating single trips Bring my lunch at least twice a week to school or work Take the bus to work or school at least once a week Walk to lunch at least once a week Ride my bike to school or work at least twice a week Work from home at least twice a month POWER DOWN Turn off my computer everyday Unplug all of my unused appliances everyday Turn off the lights every time I leave a room Turn off the lights at the end of each workday Close the refrigerator or freezer door promptly each time Replace old or broken appliances with energy efficient ones Replace burned out light bulbs with energy saving compact fluorescent light bulbs Install solar landscape lighting instead of electric landscape lighting Set my thermostat to an energy-saving 80 degrees from June-October Use ceiling fans to cool whenever possible Install ceiling fans in my home where practical Use my energy efficient temperature settings on my washer and dryer every time Air dry my clothes when possible PUT IT OFF Operate my dishwasher after 7:00 p.m. Run my washer and or dryer after 7:00 p.m. Use gasoline powered lawn and garden equipment only after 6:00 p.m. Refuel my vehicle after 6:00 p.m. ZAP EVAPORATION Properly store and cover gasoline, paint and solvents in a shady area of my garage or work area Park my car in the garage or in the shade Use manual or electric lawn equipment instead of gasoline powered When painting or staining use low VOC products When barbequing use a manual charcoal starter instead of lighter fluid COOL IT Plant at least one tree to provide shade on the south or west side of my house Install awnings on my home BE IN THE KNOW Tell at least one friend about becoming an Ozone Action Hero Check to see if your employer offers commuting incentives Check with your utility company for energy efficiency or conservation rebates Check on federal or state incentives for buying clean or alternative fueled vehicles Sign up for ozone watch and warning alerts at www.cleanairforce.org or http://www.tceq.state.tx.us/compliance/monitoring/air/monops/ozone_email.html