FLORIDA REGIONAL ENVIROTHON'S INTENT TO COMPETE 4.27.2019
Form to be filled out by the Regional Coordinator for their Envirothon competition. Note: Registration Deadline is January 1st. Please contact dwalker@scienceeye.com if you have any questions.
Regional Envirothon Competition Name *
The event in which you are organizing.
Your answer
Date of competition *
If you don't have a date set yet, please put 1/1/19, then email dwalker@scienceeye.com when the date is set.
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DD
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Location of competition *
If you don't have a location set yet, please put TBD, then email dwalker@scienceeye.com when the location is set.
Your answer
Which counties will be invited to participate in your Regional Envirothon? *
Check all that apply (Please make sure the counties you are inviting aren't overlapping with another region)
Required
Regional Coordinator's First & Last Name *
Your answer
Regional Coordinator's Email *
Your answer
Regional Coordinator's Contact Phone Number *
Your answer
Regional Coordinator's Alternative Phone Number
For example, cell/mobile or home number
Your answer
Regional Coordinator's Mailing Address *
Street, City, State, Zip
Your answer
Notes/Comments
Please give us any information we may need or want to know about your event.
Your answer
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