2024 Well Testing Program Registration

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Thank you for your interest in participating in the Adams County Well Testing Program. Please fill out the following registration form. We will email or call to inform you on if you have received one of the 50 free sampling kits. Below are details outlining the process of the well testing program. We will send you an email and letter with these details once registration has closed on May 24.

See the tentative program schedule below.

If you have any questions regarding the program, please call Keifer at (608) 339-4269 or visit https://www.co.adams.wi.us/departments/land-water-conservation.

Tentative Program Schedule

Name - First & Last *

Email *

Phone Number *

What township are you in? *

Strongs Prairie

Adams (Must have private well - not public waterworks)

Lincoln

Mailing Address *

Have you ever tested your well? *

Yes

How often do you test your well? *

Never

Once every year

Once every 2 to 5 years

How did you hear about the Well Testing Program? *

Posted flyer

Website

Social media

Newspaper

Mailer

Other:

Submit

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