2012 Smokey Bear & Woodsy Owl Poster Contest
State Chairman Report Form
Please help us by documenting your efforts. Complete the information requested below and send it to the
Regional Chairman for the Smokey Bear & Woodsy Owl Poster Contest along with your State’s
winning posters.
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National Garden Clubs, Inc
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State:
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Region:
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Total Number of Teachers
Contacted per Region:
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First Grade:
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Second Grade:
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Third Grade:
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Fourth Grade:
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Fifth Grade:
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Estimated Total Number of Students outreached per Region:
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First Grade:
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Second Grade:
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Third Grade:
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Fourth Grade:
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Fifth Grade:
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Total Public Schools Contacted in your Region:
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Total Private Schools Contacted in your Region
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Total Youth Organizations Contacted in your Region:
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Other (please specify):
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__________________________________ ________________
State Chairman Signature Date
Please include anecdotes and/or comments on the back of this report.
Notes: