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Envirothon Team Registration

Five team members, 1 alternate team member required and 2 adults can be at the contest. NO OTHERS

(Alternate Team Member should be 9th, 10th, or 11th grade student)

School/4-H/Scout Troup Name (If more than one team from the same group designate them as A or B (Example Conway Team A)

Address for School/ 4-H group/ Scout Group/ Home School Group

Multi-line address

Coach's Contact information

Coach Gender Identity
Male
Female
Other
Prefer not to answer
Chaperone Gender Identity
Male
Female
Other
Prefer not to answer

Team Members (the numbers are just to designate different people, it is not a ranking of any kind)

Team Member (1) Grade
9th
10th
11th
12th
Gender Identity Team Member (1)
Male
Female
Other
Prefer not to answer
Team Member (2) Grade
9th
10th
11th
12th
Gender Identity Team Member (2)
Male
Female
Other
Prefer not to answer
Team Member (3) Grade
9th
10th
11th
12th
Gender Identity Team Member (3)
Male
Female
Other
Prefer not to answer
Team Member (4) Grade
9th
10th
11th
12th
Gender Identity Team Member (4)
Male
Female
Other
Prefer not to answer
Team Member (5) Grade
9th
10th
11th
12th
Gender Identity Team Member (5)
Male
Female
Other
Prefer not to answer
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