Registration Form

Young Environmental Leadership Program, March 2 - 3, 2012

Deadline: February 15, 2012

Registration fee is $200.

Payment to be made to:

Sustainable Earth Solutions
102 Oakgrove Drive
Williamsville, NY 14221

Name of School or Organization:

Team Advisor and Contact Person:

Position in District or Organization:

Work Phone:

Cell Phone (if available):

Email:

School or Organization Address:

Superintendent or Supervisor:

Students (five to six students):

Briefly describe a broad environmental wish or challenge your team would address: