South Central CT Regional Water Authority

Login (up to 50 chars) *

Password (up to 50 chars) *

Re-Type to Confirm *

For a family recreation permit, there is a maximum of two family members per household. Enter the information for the primary person in the household and for ONE additional family member.

First Name *

Last Name *

Address Line 1 *

Address Line 2

City *

State *

Zip Code *

Email #1 *

Confirm Email *

Phone #1 *

Phone #1 Extension

Add New Member

Add New Contact

Household Add

New Account Information

PLEASE NOTE!!!

Household Primary Person Information

Additional Family Member

Emergency Contacts