Massachusetts Envirothon



Massachusetts Envirothon 2019-2020

Program Registration Form

General Registration deadline (this form + payment) is February 14, 2020

School/Organization _______________________________________________________________________

Coach Name(s) ____________________________________________________________________________

Coach phone number(s) and best time to reach ___________________________________________________

Fax number _______________________ Email __________________________________________________

Address: _____________________________________________________________________ zip: ________

(Use the address where mail will reach you in the most timely fashion)

Please read the following carefully. Check, complete, and sign where appropriate:

1. The 2020 Massachusetts Envirothon will be held on Thursday May 14, Quabbin Reservoir, Belchertown.

2. Program participation details:

• Teams may bring as few as 2 and as many as 10 team members and 2 coaches to compete in the May 2020 event. The May 2020 competition is strictly limited to team members listed on the Final Intent to Compete form, due April 28. 

• Participation by larger numbers of potential team members in fall, winter, and spring workshops is welcome.

• Teams that have not submitted their program registration fee can still participate in all workshops by paying a fee of $10 per participant per workshop. These payments count toward the program registration fee if/when the team registers.

• Participant rosters are required for every team at every Mass Envirothon event. Teams who plan to compete beyond the state level are advised to keep a record of individuals’ participation, e.g. a formal Team Roster updated through the year.

3. A 2020 program registration fee is required for all teams that intend to compete and participate. The fee must be submitted with this Registration form. The following fee schedule is for Registration + Payment received by:

o $150 earlybird registration through October 30, 2019

o $200 general registration through February 14, 2020

o $250 late registration (February 15 – April 8, 2020)

o $150 for 1st time team registrants through April 8, 2020

Please check which form of payment you are enclosing with this form:

___ purchase order made out to Massachusetts Association of Conservation Districts

___ check payable to Massachusetts Association of Conservation Districts

4. Team withdrawal: Registered teams that withdraw by April 8, 2020 are eligible for a refund of half their registration fee, minus any workshop fees.

5. Maps. MassGIS provides all registered teams with large maps for use in current issue research and presentations. Please provide the name of the town that you would like the map to focus on (Regional schools usually choose the town where they plan to focus their research): _______________________________

6. Chaperones. Teams must be accompanied to all Mass Envirothon events by the team Coach or Assistant Coach. Transportation to and from events is the responsibility of the participating team. Mass Envirothon provides a safe and healthy experience, but the Coach and sponsoring organization/school assume all responsibility for the well-being of their students during all activities associated with the Massachusetts Envirothon.

I have read and understand the above information ______________________________________________

coach signature

Please return form and payment Brita Dempsey (Envirothon Coordinator)

By 2/14/2020 to: 40 Morgan St, Holyoke, MA 01040

phone: 413.532.0372 email: massenvirothon@

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