Five Rivers Resource Conservation & Development Council

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Gervase Harper
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You are accepting the challenge of testing your students Skills and knowledge of our natural resources in the fun

1 Five Rivers Resource Conservation & Development Council 23rd Regional Envirothon Contest Montgomery County APSU Farm & Environmental Education Center 1991 Pickens Road Clarksville, TN Team Registration Packet Congratulations! You are accepting the challenge of testing your students Skills and knowledge of our natural resources in the fun and exciting Canon Envirothon Event. All Study Materials are online at: resources

Please take the time to completely fill out the required documents to

Receipt of all your student information is due by Friday, March 18, 2016

If you have any questions about these materials or the event, please

(615)305-6772 Janice Weiss, Council Secretary Map to APSU Farm and

2 Please take the time to completely fill out the required documents to register your team(s) for Envirothon. Receipt of all your student information is due by Friday, March 18, 2016 will ensure your team(s) preparation for competition. If you have any questions about these materials or the event, please contact our office at (615) Phil Buckner, Council President or (615) Janice Weiss, Council Secretary Map to APSU Farm and Environmental Education Center 1991 Pickens Road, Clarksville, TN 9:00AM 1:00PM APSU Farm and Environmental Education Center 1991 Pickens Rd, Clarksville, TN

3 REGISTRATION FORM No Registration Fee! Deadline for Receipt of Registration Packet is Friday March 18, 2016 Mail To: Five Rivers RC&D Council 1104 N. Main St. Ashland City, Tennessee Fax

4 CONSENT & RELEASE FORM The undersigned parent(s) or guardian(s) or nearest of kin of (enter school s name) HIGH SCHOOL STUDENT (Print Name), age, hereby AUTHORIZE his/her enrollment in the Five Rivers RC&D Envirothon Program and represent (a) That the child is in good physical condition and able to participate fully in all activities of the Program without adverse effects to himself/herself or any others participating in the Program. I/We acknowledge that the activities of the Program have been fully explained to me, which may include, but are not limited to instruction and tutoring; trips by auto, bus and other forms of transportation; social and athletic activities, and I/We CONSENT to his/her participation in all activities of the Program. I/We hereby RELEASE the Program, Five Rivers RC&D Council and any of their agents, servants or employees from liability for any injuries or damages of any nature offered by the child or me/us by reason of his/her participation in the Program. Should the child be injured or become ill while participating in the Program, I/We hereby AUTHORIZE the administration of such first aid and medical services to him/her as the circumstances require and hereby RELEASE the Program, Five Rivers RC&D Council, and any of their agents, servants or employees from liability for any injuries or damages of any nature suffered by the child or me/us by reason of any first aid, medical or other services performed or not performed upon him/her. I/We understand that the authorization and release hereby given can only be withdrawn in writing delivered to the: Five Rivers RC&D Council Secretary, located at 1104 North Main Street, Ashland City, TN (One signature required of parent or legal guardian)

5 IN KIND CONTRIBUTION VOUCHER Name: Address: I certify that I donated work described above and that I am qualified to perform this work. If the hourly rate is above minimum wage, I further certify that my special qualifications and value to the Council & Envirothon 2016 as listed are correct. Signature Date DOCUMENTATION FOR RATE ABOVE MINIMUM WAGE Special qualification of donor for Specialized Services: Description of value to Council & Envirothon program for work performed: Method of computing hourly wage (if above minimum wage): RC&D USE ONLY BELOW LINE These services were performed in connection with ENVIROTHON 2016 and are an eligible cost to the project. I have reviewed the above donated services, rate of computing contribution, as well as the value of the work performed and I approve this computation. Five Rivers RC&D Council Date

6 APSU Farm & Environmental Education Center 1991 Pickens Road, Clarksville, TN CHECK LIST Okay, you re ready to send all the paper work needed to register your school for this year s Envirothon Competition. MAKE SURE TO SEND: ~ Registration form (Names are clearly typed or printed) ~ All the Consent Forms from each student s parent or guardian. Without these, the student CANNOT participate. ~ Deadline for Registration is Friday, March 18, So hurry, only the first 25 teams will be able to compete. ~ The In-Kind Contribution Vouchers can be brought with you the day of the event to capture your time spent preparing your students for the day s contest. If you have any questions, please contact: Phil Buckner, Council President at (615) , Janice Weiss, Council Secretary at (615) Shelly Evans, Montgomery Co SCD at (931) Ext.3 or your local Soil Conservation District office: Cheatham SCD (615) ext.3 Davidson SCD (615) Dickson SCD (615) ext.3 Houston SCD (931) Humphreys SCD (931) ext.3 Montgomery SCD ( ext.3 Robertson SCD (615) ext.3 Stewart SCD (931) ext. 3

7 9:00 9:30 AM REGISTRATION APSU Farm & Environmental Education Center 1991 Pickens Road, Clarksville, TN PROGRAM SCHEDULE 9:30 10:00 AM WELCOME & ORIENTATION Phil Buckner, Council President 10:00 11:40 AM CONTEST BEGINS 20 minutes per Station Rotate through the 5 stations 11:40 12:30 PM LUNCH & PRESENTATION OF AWARDS SCORING OF TESTS FROM: Resource Agency Personnel Soils NRCS Aquatics APSU Forestry TN Division of Forestry Wildlife TN Wildlife Resources Agency Current Environmental Issues APSU Invasive Species 12:30 1:00 PM SPONSOR RECOGNITION & REVIEW SOME TEST QUESTIONS 1:15 PM CONCLUSION & RETURN TO SCHOOLS THE WINNING TEAM OF THE REGIONAL ENVIROTHON IS SPONSORED AND REIMBURSED FOR TRAVEL EXPENSES TO THE STATE ENVIROTHON CONTEST AT CLYDE YORK 4-H CAMP IN CROSSVILLE, TN. MAY 4th-5th, 2016 GOOD LUCK!

Cut-off date for applications: June 2, 2017

Cut-off date for applications: June 2, 2017 Dear Parent/Guardian, Your child is being invited to participate in the tenth annual St. Mary s County CAMP D.A.R.E. June 26 th through June 30 th at the Leonardtown Middle School. CAMP D.A.R.E. is a FREE