New York State Envirothon
BUS DRIVER REGISTRATION
ONLINE FORM

For school districts wishing to have their bus driver stay overnight, the following form must be completed and returned. Please send a check payable to the NYS Conservation District Employees' Association for the amount indicated below, by May 10, 2006 to:

Sharon Frost
Suffolk County SWCD
423 Griffing Avenue, Suite 110
Riverhead, NY 11901

Thank you for your support, NYS Envirothon Committee.

County: School:

Contact Person
First Name:
Last:

E-mail:

Mailing Address:

City: State: Zip:

Phone: Fax:

Gender: Male Female

Comments:



Bus Drivers will be charged $60.00 for overnight dormitory accommodations and 3 meals; they will have to bring their own linen.