2021 NCF-Envirothon: Individual Team Member & Advisor Registration

To be completed by each individual Team Member (5) and Advisor (1)

Team Registration Deadline: June 01, 2021
Envirothon programs holding their competitions the last week of May/early June have an additional 7 days from the conclusion of their event to compete the team registration/team certification forms.

Team Registration will cover online event & testing access for 5 team members and 1 advisor. If your team has more than one advisor, an additional advisor may register as a guest for an additional $50. Please see the 2021 Guest Registration form to complete the process.

Upon submission, you will receive a copy of this form at the email address you enter below. (It may take several minutes for the email to show up in your inbox. Be sure to check your Spam or Quarantine folders as well.)

State/Province/Partner Nation you are representing *
Registering as *
Participant Registration Information
Name Name * First Middle Last
Gender *

Gender Male Female Self Describe Self Describe
Date Of Birth (Please Note: Per NCF-Envirothon Rules and Regulations, all Advisors must be age 21 or older) Date Of Birth (Please Note: Per NCF-Envirothon Rules and Regulations, all Advisors must be age 21 or older) * / MM / DD YYYY
Age as of July 25, 2021 *
Students: Grade level as of end of the 2021 school calendar year:
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, and/or Inuit Hispanic/Latino/Latinx Native American Pacific Islander White Prefer not to answer Other: Other:
T-Shirt Size (all T-shirt sizes are adult sizes) *
Cell Phone Number Cell Phone Number * - ### - ### ####
Home Phone Home Phone - ### - ### ####
Email *
Home Address Home 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: Please enter below Yes: Please enter below
Please be aware that a Parent or Guardian must be present to complete registration process if the Team Member 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 Middle Last
Parent/Legal Guardian Cell Phone Parent/Legal Guardian Cell Phone - ### - ### ####
Parent/Legal Guardian Email
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.
Sign up for email updates

Sign up for email updates Yes, please send me updates
Please verify email address to send updates to:
Registration Confirmation
TEAM MEMBERS/ADVISOR: Participant hereby agrees to the following: *

TEAM MEMBERS/ADVISOR: Participant hereby agrees to the following: The information I have provided is accurate and complete. Participant may be photographed/videotaped by the NCF-Envirothon, its sponsors and their respective employees, agents and assigns, and the photograph and/or other digital reproduction of participants, or other reproduction of participant's physical likeness, may be published in print, digitally and/or electronically in any media including, without limitation, the internet. Participant will hold harmless and indemnify the NCF-Envirothon and its sponsors, and their respective parent, subsidiaries, affiliates, directors, officers, employees, agents and assigns, from and against any legal liability, injuries, claims, losses, costs, damages and expenses (including attorneys' fees and expenses) arising out of, or caused by, participation in the NCF-Envirothon.
Student or Advisor Signature
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.
Parent/Legal Guardian Signature (for team members under the age of 18)
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.

2021 NCF-Envirothon: Individual Team Member & Advisor Registration

2021 NCF-Envirothon: Individual Team Member & Advisor Registration

Participant Registration Information

Please be aware that a Parent or Guardian must be present to complete registration process if the Team Member is under the age of 18.

Sign up to receive National Conservation Foundation and NCF-Envirothon news throughout the year. Your information will be kept confidential and never shared.

Registration Confirmation