2023 Team Certification

To be filled out by the state, provincial, or partner nation Envirothon Representative.

Deadline: June 10, 2023*

* Envirothon Representatives from Maine, Ohio, and Maryland have an additional 7 days from the conclusion of their state Envirothon competition to complete all Required Registration Forms:
a. Maine - due on June 14
b. Ohio - due on June 20
c. Maryland - due on June 23

State/Province/Partner Nation Team you are Certifying: *
Name of Envirothon Representative Completing Form Name of Envirothon Representative Completing Form * First Middle Last
Phone *
Cell # *
Email *
Sponsoring Agency or Organization *
Website *
Address Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Team Information
Name of School or Youth Organization Team is Representing *
Local city and/or county/region that team is from
Team Advisor Information

** Please remember, per Competition Rules and Regulations, if the team is mixed gender, the Team must provide 1 adult male advisor or chaperone (age 21 or older) to chaperone any male team members and 1 adult female advisor or chaperone (age 21 or older) to chaperone any female team members. **

It is the responsibility of the state, provincial, and partner nation Envirothon program representatives to insure adequate supervision is provided that meets this requirement!
Primary Advisor Name Primary Advisor Name * First Last
Advisor Email *
Advisor Cell# *
Co-Advisor or Chaperone Name Co-Advisor or Chaperone Name First Last
Co-Advisor or Chaperone email
Co-Advisor or Chaperone Cell#
Team Members

Please note, per Section V.2. of the NCF-Envirothon Rules and Regulations: Teams with fewer than 5 members at the 2023 NCF-Envirothon Competition are allowed to attend and participate in all competition activities (including testing and oral presentations), but are not eligible for awards or recognition. Such teams will compete as exhibition only.

If your team wishes to attend with less than 5-members, please contact NCF-Envirothon immediately to notify program staff.
Team Captain Team Captain First Last
Team Member Team Member First Last
Team Member Team Member First Last
Team Member Team Member First Last
Team Member Team Member First Last
Team Member Substitutions - Optional, but Recommended!

Per Competition Rules and Regulations, teams may designate up to two (2) additional students who will serve as Team Substitution Candidates in the event an emergency or unresolvable time conflict prevents one or two of original 5-member team from competing at the 2023 NCF-Envirothon New Brunswick Competition.

Team Substitution Candidates deadline -> June 10*

Please see section II. Team Member Substitutions of the Competition Rules for further details and requirements!
Please check to indicate your understanding *

Please check to indicate your understanding I certify that I understand the Team Member Substitution process as outlined in the NCF-Envirothon Annual Competition Rules and Regulations and will work with my team to comply with all requirements.
Substitution Candidate (1) Substitution Candidate (1) First Last
Substitution Candidate (2) Substitution Candidate (2) First Last
Social Media

If your state, provincial, or partner nation Envirothon Program has social media accounts, please let us know so we can tag your program in posts about your team.
Facebook handle (example: @NCFEnvirothon)
Twitter handle (example: @NCFEnvirothon)
Instagram handle (example: @ncfenvirothon)
TikTok handle (example: @ncfenvirothon)
Other
Local Media
Local Media For Your Area (name, website, email contact, etc.)
Certification and Signature
As the state, provincial, or partner nation Envirothon Representative, by checking the following boxes and providing my signature, I certify that: *

As the state, provincial, or partner nation Envirothon Representative, by checking the following boxes and providing my signature, I certify that: All team members, including team substitution candidates, are eligible to participate in the NCF-Envirothon Annual Competition and meet all the team requirements as set forth in both the NCFE Program Policies and the NCFE Annual Competition Rules and Regulations. All team members (including optional team substitution candidates) and Advisor(s)/Chaperone are familiar with the NCF-Envirothon Annual Competition Rules and Regulations. All team members (including optional team substitution candidates) and Advisor(s)/Chaperone are familiar with the NCF-Envirothon Adult and/or Student Code of Conduct. All team members including (optional team substitution candidates) and Advisor(s)/Chaperone are familiar with the 2023 NCF-Envirothon New Brunswick Competition Oral Presentation Rules and Guidelines. I will work with the Team to meet all registration deadlines. I will ensure that the team has links to all 2023 Competition Study Resources and Training guides posted to the www.envirothon.org website.
Draw your signature into the box below. *

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.

2023 Team Certification

2023 Team Certification

Team Information

Team Advisor Information

Team Members

Social Media If your state, provincial, or partner nation Envirothon Program has social media accounts, please let us know so we can tag your program in posts about your team.

Local Media

Certification and Signature

Social Media

If your state, provincial, or partner nation Envirothon Program has social media accounts, please let us know so we can tag your program in posts about your team.