JRCC Registration No Tee

NW Ohio SWCD - Junior Conservationist

2021 Registration Form

If you would like to receive a free certificate, please register and complete at least 6 of the activities as indicated. The deadline for the 2021 t-shirts has passed, but your certificate will be sent via mail upon completion of the program.
You are welcome to do any of the activities for free on your own - enjoy!

Please fill out the following form to register for the 2021 Junior Conservationist Program. Questions? Contact Jamie Kochensparger at 419-893-1966 ext. 2#

* Indicates required field

Participant's Name *

First

Last

Participant's Age *

Parent/Guardian Contact Name *

First

Last

Parent/Guardian Contact Email Address *

Mailing Address (where you'd like to receive your certificate) *

City *

State *

Zip Code *

County *

Photo Release *

By checking this box, you give permission for all images that you submit to the Junior Conservationist Program to be used solely for the purposes of your county Soil & Water Conservation District's promotional material and publications, and you waive any rights of compensation or ownership of the images.

Submit

Ohio Federation of Soil & Water Conservation Districts

We welcome your
call or visit!

Contact us online
Click for directions

Office Hours:
Monday - Friday
8:00 AM - 4:30 PM

130-A W. Dudley St.
Maumee, OH 43537
419-893-1966

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NW Ohio SWCD - Junior Conservationist

Please fill out the following form to register for the 2021 Junior Conservationist Program. Questions? Contact Jamie Kochensparger at 419-893-1966 ext. 2#

We welcome yourcall or visit!​​​Contact us onlineClick for directions

We welcome your
call or visit!

Contact us online
Click for directions