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2008 Envirothon Team Registration Form

Please submit one registration form for each team entering. 
You can also print this form and fax it to 423-753-9356 or
Email your Team information to kris@arcd.org

Print page prior to submitting form, then send $20.00 for the first team,
$15.00 for each additional team and $7.50 for each additional guest to:

Appalachian RC&D Council
1105 East Jackson Boulevard, Suite 4
Jonesborough, TN  37659
 

School:
School System: 
School Street Address:
City , State Zip

Team Advisor
First Name   Last Name  
Email T-shirt Size

Team Name or Number

Team Members
1: Last Name First Name T-shirt Size
2: Last Name First Name T-shirt Size
3: Last Name First Name T-shirt Size
4: Last Name First Name T-shirt Size
5: Last Name First Name T-shirt Size

Please Indicate team member/advisor lunch choice totals: 
regular diabetic vegetarian
 

Each team includes 5 TEAM members and 1 TEAM advisor (chaperone, teacher or assistant).  The majority of the cost for the teams are covered by generous grant funding from Canon Envirothon, Tennessee RC&D Council and USDA-Natural Resources Conservation Service. 

Additional observers, chaperones and guests (in limited numbers) are welcome.  There is an additional charge of $7.50 per person which includes a T-shirt and lunch. 

Additional Guests-Chaperones
1: Last Name First Name T-shirt Size
2: Last Name First Name T-shirt Size
3: Last Name First Name T-shirt Size
 
 

 

1105 East Jackson Boulevard, Suite 4
Jonesborough, TN 37659
423-753-4441 ext. 4
423-753-9356

 

USDA EQUAL OPPORTUNITY STATEMENT

The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, sex, religion, age, disability, political beliefs, sexual orientation, or marital or family status. (Not all prohibited bases apply to all programs). Persons with disabilities who require alternative means for communication of program information (Braille, large print, audiotape, etc.) should contact the USDA's TARGET Center at 202-720-2600 (voice and TDD).

To file a complaint of discrimination, write the USDA, Director, Office of Civil Rights, Room 326-W, Whitten Building, 14th and Independence Avenue, SW, Washington, D.C., 20250-9410 or call (202) 720-5964 (voice and TDD). USDA is an equal opportunity provider and employer.