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Smokey Bear Contest

 

 

INSTRUCTIONS: Either Part A or Part B, PLUS Part C, of this form must be

completely filled out and placed onto the back of all posters in order to qualify.

Part A:

Student Name & Contact Information

Name:

 

Street:

 

City/State/ZIP:

 

Phone No:

 

Part B:

Parent/Guardian Name & Contact Info

Name:

 

Street:

 

City/State/ZIP

 

Phone No:

 

Part C:

Garden Club Information:

Student’s Grade

Circle One:

Level

1st      2nd     3rd      4th       5th

NGC Region:

 

Garden Club:

 

Garden Club’s State:

 

Garden Club Contact Name:

 

Phone No:

 

Email: