2024 Station Testing Day Volunteer Registration First Name(Required) Last Name(Required) Email Address(Required) Phone(Required)Agency(Required) Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Volunteer Gender(Required) Female Male Prefer to Self Identify Volunteer T-Shirt Size(Required) Small Medium Large X-Large XX-Large XXX-Large Emergency Contact InformationEmergency Contact Name(Required) Emergency Contact Phone Number(Required) Dietary Selection(Required) Regular Meals Vegetarian Meals Other If other-please explain special dietary restrictions and/or allergies If unable to accommodate your dietary restrictions, you may be asked to pack your own lunch. Please reach out to paenvirothon1@gmail.com with any questions or concerns.Select which volunteer assignments you prefer at station testing day on May 22, 2024. Please understand that every effort will be made to assign you to a volunteer duty you selected, however this cannot be guaranteed.(Required) Station Travel Official Food Service Volunteer Station Assistant No Preference Volunteer VerificationVolunteer clearances -child abuse and state police background check must be uploaded or submitted by email to: paenvirothon1@gmail.com.(Required) I want to upload clearances now I will email clearances to paenvirothon1@gmail.com FileMax. file size: 2 GB.FileMax. file size: 2 GB.I hereby grant permission to PA Envirothon to use names, photographs, and/or videos of myself that are produced during the 2024 PA Envirothon State Competition in publications, news releases, online, social media, and in other communications related to the mission of PA Envirothon.(Required) Yes, I give permission. No, I do not give permission. Questions about volunteer registration can be directed to Courtney Raker or Jason Winey at 570-837-3000 or by email paevirothon1@gmail.comVolunteer Signature (Print Name)(Required)Today's Date(Required) MM slash DD slash YYYY CAPTCHA