2024 Student Team Member Registration

2024 NCF-Envirothon New York Competition
July 28 - August 3, 2024

Before Proceeding, Please be Aware of the Following:
- • Parent/Legal Guardian Signature - If the student is under the age of 18, a Parent or Guardian must be present to complete this form. Their signature will be required!
- • Medical and Insurance Information - Registration is NOT complete until a Medical and Insurance Information: Students form has been submitted for the Student Team Member by the set deadline. A link to that form will be displayed on the "Success Page" once you click 'submit'.
- • For questions about competition housing - Please review the NCF-Envirothon Annual Competition Housing Guidelines.
- • Registration Deadline - June 1, 2024*
* Student Team Members, including Team Substitution Candidates, from Ontario, Maine, Ohio, and Maryland have an additional 7 days from the conclusion of their state/provincial Envirothon competition to complete all Required Registration Forms:
a. Ontario - due on June 5
b. Maine - due on June 7
c. Ohio - due on June 12
d. Maryland - due on June 20
State/Province/Partner Nation Team you are Representing *
Participant is registering as a: *

Participant is registering as a: Student Team Member Team Substitutution Canidate
STUDENT INFORMATION
Name Name * First Last
Preferred Pronouns
Email *
Address Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Home Phone Home Phone * - ### - ### ####
Cell Phone Cell Phone * - ### - ### ####
Do you have a different address for Summer? *

Do you have a different address for Summer? No Yes: Yes:
Gender *

Gender Male Female Self Describe Self Describe
Grade level most recently completed? *

Grade level most recently completed? 8th 9th 10th 11th 12th
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
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 Other: Other:
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:
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
Parent/Legal Guardian Information

-> Please complete if the student is under the age of 18.

Reminder: Parent/Legal Guardian's signature will be required to complete this form.
Parent/Legal Guardian Name Parent/Legal Guardian Name First Last
Home Phone Home Phone - ### - ### ####
Cell Phone Cell Phone - ### - ### ####
Parent/Legal Guardian Email
Team Advisor Information
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!) *

Confirm Email Address *

2024 Student Team Member Registration

2024 Student Team Member Registration

STUDENT INFORMATION

Parent/Legal Guardian Information -> Please complete if the student is under the age of 18. Reminder: Parent/Legal Guardian's signature will be required to complete this form.

Team Advisor Information

Parent/Legal Guardian Information

-> Please complete if the student is under the age of 18.

Reminder: Parent/Legal Guardian's signature will be required to complete this form.