Earth Day Poster Contest Sign-Up Sheet, 2025

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2025 NMSWMD Poster Contest Entry Form Each poster entry must be accompanied by this form. Posters due Monday April 22nd, 2025

Please circle your grade level Grades 2-3 Grades 4-6 Grades 7-8

Grades K-1

Grades 9-12

Student Information First:___________________________________________Last:______________________________________________ Address:___________________________________________________City:___________________________________ State:________________Zip:______________________Age:_____________________Grade:_____________________ Parent/Guardian Names: ____________________________________________________________________________ Phone:(_____)____________________Email:____________________________________________________________ I allow NMSWMD-Region B to utilize this poster submission for educational and/or promotional purposes. I hereby grant permission to NMSWMD-Region B to use photographs and/or video of me in publications, news releases, online, and in other communications related to the mission of NMSWMD-Region B. ___________________________________________________

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Signature of Parent/Guardian

Date

Please check whichever box below applies to you: _____This poster is an original, completed by the student named above. ______The student received assistance from another person or ideas from another source. If so, please list types of assistance on the back of this form.

School Information Public School____________________ Private School_______________________ Home School___________________ School Name:_____________________________________________________________________________________ Teacher:__________________________________________________________________________________________ School Address:__________________________________________________City:______________________________ State:__________________Zip:_________________Phone:(_____)__________________________________________ Teacher Email:_____________________________________________________________________________________

810 Washington Street Trenton, MO 64683 phone 660-359-5636 ext. 24 Ann@ghrpc.org Cell 660-247-1356