NH LAKES

Watershed Warrior Activity Circuit Inquiry

YES! We would like to bring the Watershed Warrior Activity Circuit to our community to help youth (and their families) "take action" to keep lakes and watersheds healthy!

We would like to:

OPTION 1: Schedule NH LAKES staff to host the activity circuit in our community.

OPTION 2: Borrow the activity circuit from NH LAKES and recruit and train staff/volunteers from our group to run the stations at our local event.

(NH LAKES staff will work with your group to arrange an initial training session and schedule activity circuit pick-up and drop-off dates.)

OPTION 3: Make our own activity station kit and recruit and train staff/volunteers from our community to run the stations at our local event(s).

(NH LAKES staff will schedule an initial training with your group and will provide all instructions and templates to make your own activity circuit station kit.)

Contact Information:

Organization Information

Organization Name:

Mailing Address:

City:

State:

Zip:

Organization Website:

Organization Facebook Page:

Contact Person Information

First Name *

Last Name *

Phone *

Email *

Any other comments to share?

Event Information:

If you selected OPTION 1 or OPTION 2, please include information about your event below.

Event Name:

Event Type:

Association Family-Friendly Event
Conference
Fair/Festival
School Assembly/Class
Summer Camp
Other (specify below)

Anticipated # of attendees:

Approximate ages of attendees (check off all that apply):

Pre-school - Kindergarten
1st grade - 5th grade
6th grade - 8th grade
9th grade - 12th grade
Adults

Is this event open to the public?

Yes
No

If a public event, indicate per person registration fee (if applicable):

Is pre-registration required?

Yes
No

If pre-registration is required, provide registration information below:

Date and Time:

Note: The circuit can be scheduled for a 60-90 minute+ time block or stations can be staffed during a day-long event.

Preferred Date (1st choice):

Start Time:

End Time:

Backup Date (2nd choice):

Start Time:

End Time:

Comments on event date and/or time:

Venue:

Facility Name:

Street Address:

City:

State:

Zip Code:

Facility Information

The activity circuit will be set up inside a room with six 6-foot tables (the local group must provide tables.)
The activity circuit will be set up outside under a tent/pavilion with six 6-foot tables (the local group must supply tables and tent.)
Other arrangement (please specify below):

QUESTIONS/PROBLEMS?

If you have any questions or problems filling out this form, please contact Andrea LaMoreaux, NH LAKES Vice President, at 603-226-0299 or alamoreaux@nhlakes.org.