Long Island Regional Envirothon, Ltd.
423 Griffing Avenue • Riverhead, New York 11901 • 631-727-2315 x3 • email

"Long Island's premier environmental studies competition for high school students in Nassau and Suffolk Counties."

2012 Current Issue is Now Available... Click Here!

14th Annual L.I. Envirothon • Wednesday April 25, 2012 • Usdan Center for the Creative and Performing Arts
ONLINE TEAM REGISTRATION
(There is a $25.00 charge for every team you register. Please forward checks payable to L.I. Envirothon to the address above.)

Parental Consent Forms
Team Registration Print & Mail


School:

County: Nassau Suffolk

Advisor 1:

Advisor 1 E-Mail:

Advisor 1 Tee Shirt Size:

Advisor 2:

Advisor 2 E-Mail:

Advisor 2 Tee Shirt Size:

Telephone:

Alternate Telephone:

Street:

City: Zip Code:

Student 1 (First & Last Name):

Student 1 Tee Shirt Size:

Student 2 (First & Last Name):

Student 2 Tee Shirt Size:

Student 3 (First & Last Name):

Student 3 Tee Shirt Size:

Student 4 (First & Last Name):

Student 4 Tee Shirt Size:

Student 5 (First & Last Name):

Student 5 Tee Shirt Size:

Alternate Student (First & Last Name):

Alternate Student Tee Shirt Size:

Long Island Regional Envirothon, Ltd • 423 Griffing Avenue • Riverhead, New York 11901 • 631-727-2315 x3 • email