2022 NCF-Envirothon Ohio Competition: Team Member Registration

To be completed by each Team Member competing at the 2022 NCF-Envirothon Ohio Competition, July 24-30.

Registration Deadline: June 10, 2022*
*Envirothon programs holding their competitions on or after June 5th have an additional 7 days from the conclusion of their event to compete the team registration/team certification forms.

State/Province/Partner Nation you are Representing *
You are registering as a: *
About Team Substitution Candidates:

New this year - Your Team Advisor 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 five-member team from competing at the 2022 NCF-Envirothon Ohio Competition, then 1 of the substitution candidates can step in to compete.

To be eligible as a Substitution Candidate, please complete this Team Member Registration form AND the Medical & Insurance Information and Release form before the Registration Deadline.
- • Substitution candidates will not attend the NCFE annual competition as a student participant unless they are needed to replace an original team member. However, substitution candidates (and a Chaperone if student is under the age of 18) may register as a Guest.
- • Substitution candidates must meet ALL of the following criteria in order to be considered:
  - a. Must be enrolled in grades 9 -12 and reach age 14 – 19 by August 8 of the current competition year. Non-traditional schools and youth organizations must follow the grade level and age limitations as set above.
  - b. Must be from the same school, non-traditional school, or youth organization as the original competing team.
  - c. Must have participated in an Envirothon program/training prior to their state/provincial/partner nation Envirothon competition in order to compete at the NCFE Annual Competition.
  - d. Must be affiliated with their local conservation district or equivalent sponsoring organization agency.
  - e. Must complete all official team member registration forms by the set registration deadline.
  - f. Must read, agree to, and sign the NCFE Rules and Regulations and Student Code of Conduct by the set registration deadline.
The complete Team Member Team Member Substitution Rule (Section II) can be read here.
Team Member Information
Name Name * First Middle Last
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: Please list below Yes: Please list below
Home Phone Home Phone * - ### - ### ####
Cell Phone - where you can be reached during the competition Cell Phone - where you can be reached during the competition * - ### - ### ####
Date Of Birth Date Of Birth * / MM / DD YYYY
Grade level most recently completed? *

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

Gender Male Female Self Describe Self Describe
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:
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 Middle Last
Parent/Legal Guardian Home Phone Parent/Legal Guardian Home Phone - ### - ### ####
Parent/Legal Guardian Cell Phone Parent/Legal Guardian Cell Phone - ### - ### ####
Parent/Legal Guardian Email
T-Shirt Size (adult sizes only) *
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 (please list below) Other (please list below)
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 Primary Advisor's Name Your Primary Advisor's Name * First Last
Advisor's Email: *

PLEASE make sure you have the email address spelled correctly!
Rules and Code of Conduct Certification

Please carefully read following NCF-Envirothon Rules and Regulations, the 2022 NCF-Envirothon Ohio Competition Oral Presentation Rules and Guidelines, and the NCF-Envirothon Student Code of Conduct.

After reading, you will be asked to certify your understanding and compliance with all Rules and Code of Conduct.
NCF-Envirothon Rules and Regulations

Please read all eleven (11) pages carefully.

Amended 2/15/22
*

I have read the above NCF-Envirothon Competition Rules and Regulations and I agree to abide by all competition rules as stated.
2022 NCF-Envirothon Ohio Competition Oral Presentation Rules and Guidelines

Please read all four (4) pages carefully.

Approved 2/12/22
*

I have read the 2022 NCF-Envirothon Ohio Competition Oral Presentation Rules and Guidelines and I agree to abide by all rules as stated.
NCF-Envirothon Student Code of Conduct

Please read and check each to certify your understanding and compliance.

Section VII Codes of Conduct of the NCF-Envirothon Annual Competition Rules and Regulations, Amended 2/15/22
As a Student Team Member, I understand and agree to abide by the following: *
As a Student Team Member, I understand and agree to abide by the following: a. In accordance with applicable civil rights laws, the National Conservation Foundation Envirothon (NCFE), its offices, and employees, and institutions participating in or administering NCFE programs are prohibited from and shall not discriminate based on race, color, national origin, religion, sex, gender identity (including gender expression), sexual orientation, disability, age, marital status, family/parental status, income derived from a public assistance program, political beliefs, or reprisal or retaliation for prior civil rights activity, in any program or activity conducted or funded by the NCFE. b. Student/minor guest conduct is the responsibility of the student/minor guest and their advisor/chaperone. c. Student/minor guest behavior at all times should be such that it reflects credit to themselves, their school/conservation district, their state/province/partner nation and the Envirothon. d. Students/minor guests are expected to attend all general sessions and other scheduled activities. Please be prompt and show respect to those in the audience and on stage. e. Students/minor guests are expected to observe the designated curfew. f. Students/minor guests are to immediately report any accident, injury or illnesses to their advisor/chaperone and/or state/provincial/partner nation Envirothon representatives. g. If a student/minor guest is determined to be responsible for stealing, vandalism, or other activity that results in damage to property, the individual and their parent/legal guardian will be expected to pay any and all damages. h. Harassment, intimidation, or bullying behavior by any student/minor guest is strictly prohibited, and such conduct may result in disciplinary action, including disqualification from the event.
i. The following are strictly prohibited at any and all Envirothon functions; student/minor guest participants may not be in possession of or use:
i. Tobacco and vapor products (including smokeless)
ii. Alcoholic beverages
iii. Illegal/illicit drugs
iv. Weapons, including firearms and knives.
j. If a student is determined to be cheating or disregarding the NCFE Rules and Regulations, this Code of Conduct and/or the NCFE Program Policies they will be subject to stringent disciplinary action or team disqualification, and may be sent home at the expense of their parent/legal guardian. Parents/legal guardians of the student will be notified immediately. Any violation of these rules and regulations will result in disciplinary action or disqualification.
By checking below, you agree to the following: *

By checking below, you agree to the following: I have read the above the NCF-Envirothon Student Code of Conduct, and I agree to abide by all as stated.
Registration Confirmation
I hereby agree to the following: *

I hereby agree to the following: The information I have provided is accurate and complete. I have read and clearly understand the NCF-Envirothon Rules and Regulations. I, or my Parent/Legal Guardian, is responsible for my own insurance coverage in connection with travel to and from, and participation in, the 2022 NCF-Envirothon Ohio Competition. I understand and acknowledge that, in conjunction with my participation in the NCF-Envirothon annual international competition, NCF-Envirothon and its board members, committee members, employees, state/provincial/partner nation Envirothon program representatives, agents, insurers, sponsors, partners/affiliates, successors, assigns and any and all other persons or entities on NCF-Envirothon’s behalf (“Representatives”), may capture photos, video, and other recordings of participants before, during and after events at the NCF-Envirothon annual international competition. I expressly authorize and grant to NCF-Envirothon and its Representatives an irrevocable limited license to use any and all photos, video and/or other recordings of myself captured before, during and after events at the NCF-Envirothon annual international competition by NCF-Envirothon. NCF-Envirothon may but is not required to use such photos, video, and other recordings of you in future print materials, online materials (including the NCF-Envirothon website and its official social media accounts) signage, slideshows, podcasts, videos, and other uses in physical and digital forms. I 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 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 Confirmation:
To be completed by an Authorized Parent/Legal Guardian (if student is under the age of 18):

By checking the following boxes and providing my signature, I acknowledge that:

To be completed by an Authorized Parent/Legal Guardian (if student is under the age of 18):

By checking the following boxes and providing my signature, I acknowledge that: I certify that all information provided is accurate and complete. I give permission for my minor to attend the 2022 NCF-Envirothon Ohio Competition. I understand and acknowledge that, in conjunction with my minor’s participation in the NCF-Envirothon annual international competition, NCF-Envirothon and its board members, committee members, employees, state/provincial/partner nation Envirothon program representatives, agents, insurers, sponsors, partners/affiliates, successors, assigns and any and all other persons or entities on NCF-Envirothon’s behalf (“Representatives”), may capture photos, video, and other recordings of participants before, during and after events at the NCF-Envirothon annual international competition. I expressly authorize and grant to NCF-Envirothon and its Representatives an irrevocable limited license to use any and all photos, video and/or other recordings of the minor captured before, during and after events at the NCF-Envirothon annual international competition by NCF-Envirothon. NCF-Envirothon may but is not required to use such photos, video, and other recordings of the minor in future print materials, online materials (including the NCF-Envirothon website and its official social media accounts) signage, slideshows, podcasts, videos, and other uses in physical and digital forms. I will hold harmless and indemnify the National Conservation Foundation, 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, attendance and/or participation in the NCF-Envirothon annual international competition.
Parent/Guardian Signature (for students 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.

2022 NCF-Envirothon Ohio Competition: Team Member Registration

2022 NCF-Envirothon Ohio Competition: Team Member Registration

Team Member Information

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

NCF-Envirothon Rules and Regulations Please read all eleven (11) pages carefully.

2022 NCF-Envirothon Ohio Competition Oral Presentation Rules and Guidelines Please read all four (4) pages carefully.

NCF-Envirothon Student Code of Conduct Please read and check each to certify your understanding and compliance.

Registration Confirmation

Parent/Legal Guardian Confirmation:

NCF-Envirothon Rules and Regulations

Please read all eleven (11) pages carefully.

2022 NCF-Envirothon Ohio Competition Oral Presentation Rules and Guidelines

Please read all four (4) pages carefully.

NCF-Envirothon Student Code of Conduct

Please read and check each to certify your understanding and compliance.