EmailMe Form - 2024 NRCW Student Application Part 1

Student Name *

First Last

Gender *

Age *

Date of Birth *

MM / DD / YYYY

High School

Grade *

Phone

### - ### - ####

Student Email (Do NOT use an email address that does not accept outside email. A lot of school emails do not accept emails from outside the school system.) *

Student Shirt Size (Adult Sizes) *

County of Residence *

Mailing Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code

I certify that I will be entering the 10th, 11th, or 12th grade at the beginning of the 2024-2025 school year - I am currently completing the 9th, 10th, or 11th grade. I have never attended a Natural Resources Conservation Workshop. I understand this is a workshop, and I will participate in all activities; show respect for property and facilities used; assume financial responsibility for any damage caused by me. I understand failure to follow the rules of conduct will result in my being sent home immediately. I UNDERSTAND THAT THE RULES OF CONDUCT PROHIBIT ANY USE OF TOBACCO PRODUCTS, ALCOHOL, OR DRUGS NOT PRESCRIBED BY DOCTOR AND THIS WILL BE STRICTLY ENFORCED. *

I am requesting special permission to attend the Natural Resources Conservation Workshop. I understand that requesting special permission does not guarantee my acceptance into the Workshop.

I am a 2024 high school graduate. I have never attended a Natural Resources Conservation Workshop. I understand this is a workshop, and I will participate in all activities, show respect for property and facilities used, assume financial responsibility for any damage caused by me. I understand failure to follow the rules of conduct will result in my being sent home immediately. I UNDERSTAND THAT THE RULES OF CONDUCT PROHIBIT ANY USE OF TOBACCO PRODUCTS, ALCOHOL, OR DRUGS NOT PRESCRIBED BY DOCTORS AND THIS WILL BE STRICTLY ENFORCED. *

Student Signature *

Clear

Date Time

MM / DD / YYYY

Parent/Legal Guardian Name *

First Last

Parent/Legal Guardian Email *

Mailing Address is Same as Student Address *

Yes

No - please enter address below.

Mailing Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Parent/Legal Guardian Phone Number *

### - ### - ####

Other Phone Number

### - ### - ####