2022 North Central Regional Envirothon Competition Registration Form

Hosted by Okanogan Conservation District at Filaree Fruit, 182 Conconully Road, Okanogan, WA on April 27th, 2022.

Please submit a form for each team that will participate.

Registration deadline is March 4th, 2022

Vaccination is not required for the event. However, the event will be hosted outside and masks will be required, especially when social distancing cannot be followed.

School Name

Team Advisor Name

Team Advisor Email

Team Advisor Phone

School/Advisor Address

Team Name

Team Captain

Team Member 1

Grade

T-Shirt Size

Please list any allergies and/or dietary or mobility restrictions.

Race and Ethnicity: please check all that apply.

Why do we ask for this? WA State Envirothon is collecting demographic information to assist with diversity and inclusion efforts. All of this information is voluntary and appreciated. We will look at the total data and not at individual people's responses.

Team Member 2

Grade

T-Shirt Size

Please list any allergies and/or dietary or mobility restrictions.

Race and Ethnicity: please check all that apply.

Why do we ask for this? WA State Envirothon is collecting demographic information to assist with diversity and inclusion efforts. All of this information is voluntary and appreciated. We will look at the total data and not at individual people's responses.

Team Member 3

Grade

T-Shirt Size

Please list any allergies and/or dietary or mobility restrictions.

Race and Ethnicity: please check all that apply.

Why do we ask for this? WA State Envirothon is collecting demographic information to assist with diversity and inclusion efforts. All of this information is voluntary and appreciated. We will look at the total data and not at individual people's responses.

Team Member 4

Grade

T-Shirt Size

Please list any allergies and/or dietary or mobility restrictions.

Race and Ethnicity: please check all that apply.

Why do we ask for this? WA State Envirothon is collecting demographic information to assist with diversity and inclusion efforts. All of this information is voluntary and appreciated. We will look at the total data and not at individual people's responses.

Team Member 5

Grade

T-Shirt Size

Please list any allergies and/or dietary or mobility restrictions.

Race and Ethnicity: please check all that apply.

Why do we ask for this? WA State Envirothon is collecting demographic information to assist with diversity and inclusion efforts. All of this information is voluntary and appreciated. We will look at the total data and not at individual people's responses.

Alternates, if applicable. Please include full name, grade, t-shirt size, allergies and/or mobility restrictions, and race/ethnicity.

Would your team be interested in?...

Envirothon study bins

Virtual Trivia

Virtual webinars

Study guides

Do you have any additional questions or comments?

Student Medical Release Forms

I will bring an extra copy of each student's medical release form to the competition and turn them into event officials when I sign in. I will keep my own separate copies for travel to and from the event.

Rules and Regulations

By typing your name below, you agree that you have read, understand, and will abide by the 2022 North Central Regional Envirothon Rules.

I will alert North Central Regional Washington Envirothon if any information on this form changes.

Contact Kim Kogler at kimberly@okanogancd.org or 509-429-3439.

This form is true and complete to the best of my knowledge.

Send me a copy of my responses

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