Earth Day Event Report

Please complete the North Dakota Game and Fish Department Earth Day event report form upon completion of your event.

Contact Information *This question is required.

First Name

Last Name

Title

Street Address

City

State

Zip

Email Address

Phone Number

Event Information *This question is required.

Date
(Format mm/dd/yyyy)

Location

Description

Group Type

Participant Count *This question is required.

Adults This question requires a valid number format.

Youth (under 19) This question requires a valid number format.

Number of Patches Requested *This question is required. This question requires a valid number format.

Comments

If you have photos of your Earth Day event that you would like to submit, please upload them here.