2019 NYS Envirothon Volunteer Registration
Email address *
First Name *
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Last Name
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Affiliation *
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Work Address *
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Home Address *
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County you live in *
County you work in *
Email *
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Daytime # *
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Cell Phone # *
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T-Shirt Size *
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Wednesday Volunteer Choice
Thursday Volunteer Choice
Overnight Accommodations *
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Room Preference
Roommate Request
Do you wear Medic Alert somewhere on your person?
If Yes for what:
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Dietary Restrictions *
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Allergies *
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Comments/Indicate Allergies and Dietary Needs/Medical conditions/ Medic Alert
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