Water Conservation District | Waterwise Community Center – Pre-Register Here

Please fill out the form below to pre-register for your event at the Water Conservation District | Waterwise Community Center, CA. Please submit your pre-registration information to us and we will contact you if we have any questions. Thank you!

Testing Information

Testing Day/Time: each Wednesday from 8:45 am -10:00 am

Testing Location:

Rates

*only apply for non-insured
COVID-19 Rapid Antigen: $100 (Cash)
COVID-19 Rapid Antigen: $120 (Credit Card)
COVID-19 PCR Test: $150 (Cash or Credit Card)

"*" indicates required fields

Name*

Email:*

Phone:*

Date of Birth:*

Upload Driver's License*

Drop files here or

Max. file size: 25 MB.

The file size must be 1MB or smaller. If it doesn't upload, your file is too large and you must make it smaller for upload.

Upload Insurance Card*

Drop files here or

Max. file size: 25 MB.

The file size must be 1MB or smaller. If it doesn't upload, your file is too large and you must make it smaller for upload.

CAPTCHA

Phone

This field is for validation purposes and should be left unchanged.

Now Serving all of California!

Schedule an event with us by completing the necessary information and document uploads.

We look forward to serving you!

Schedule an Event