NORTH SHORE SANITARY DISTRICT

                                                    Public Tour Application Form - E-Mail

                   Facility requested to tour:    (Please choose one)

                    Gurnee STP    Waukegan STP    Clavey Road STP   Laboratory

                      Preferred tour date and time:               

                      Alternate tour date and time:               

                      Name of group:                                  

           Number of participants:                       

                    Age or Grade range of participants:       

                     Names of Adult Chaperones:                   

                      Contact name and phone number:      

                      Contact e-mail address: