2023 Student Team Member Registration

2023 NCF-Envirothon New Brunswick Competition
Mount Allison University
Tantramar (aka, Sackville), New Brunswick, Canada
Dates: July 23 - 29, 2023

Student Team Members

Deadline: June 10, 2023*
* Student Team Members 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

Have questions about competition housing? Check out the NCF-Envirothon Annual Competition Housing Guidelines!
State/Province/Partner Nation you are Representing *
STUDENT INFORMATION
Name Name * First Last
Preferred Pronouns
Email *
Address Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Do you have a different address for Summer? *

Do you have a different address for Summer? No Yes: Yes:
Home Phone Home Phone * - ### - ### ####
Cell Phone Cell Phone * - ### - ### ####
Grade level most recently completed? *

Grade level most recently completed? 8th 9th 10th 11th 12th
Gender *

Gender Male Female Self Describe Self Describe
Have questions about competition housing? Check out the NCF-Envirothon Annual Competition Housing Guidelines!
Which of the following group(s) best describe you? *

Which of the following group(s) best describe you? Asian Black/African American/Black Canadian Indigenous: First Nation, Metis, Inuit, and/or Native American Hispanic/Latino/Latinx Pacific Islander White Prefer not to answer Other Other
Date of Birth Date of Birth * / MM / DD YYYY
Are you 18 years or older at the time of completing this form? *

Are you 18 years or older at the time of completing this form? Yes No
-> Please be aware that a Parent or Guardian must be present to complete registration process if the student is under the age of 18!

Their signature will be required to complete this form.
Name of Parent/Legal Guardian if under 18 Name of Parent/Legal Guardian if under 18 First Last
Home Phone of Parent/Legal Guardian Home Phone of Parent/Legal Guardian - ### - ### ####
Cell Phone of Parent/Legal Guardian Cell Phone of Parent/Legal Guardian - ### - ### ####
Email of Parent/Legal Guardian
T-shirt size *
Dietary Needs - Every effort will be made to try and accommodate special dietary needs. *

Dietary Needs - Every effort will be made to try and accommodate special dietary needs. No specific dietary needs Vegetarian Vegan Gluten Free
Allergies:
Please list all Allergies (medications, foods, etc.) *
Special Needs:
If you have a disability or special need, and may require accommodations in order to fully participate, please let us know: *
Your Team Advisor's Name Your Team Advisor's Name * First Last
Advisor's Email:
(PLEASE make sure you have the email address spelled correctly as they will receive a copy of this completed form for their records!) *

2023 Student Team Member Registration

2023 Student Team Member Registration

STUDENT INFORMATION

Have questions about competition housing? Check out the NCF-Envirothon Annual Competition Housing Guidelines!

-> Please be aware that a Parent or Guardian must be present to complete registration process if the student is under the age of 18! Their signature will be required to complete this form.

-> Please be aware that a Parent or Guardian must be present to complete registration process if the student is under the age of 18!

Their signature will be required to complete this form.