Become a Kenosha County Bee Ambassador
Bee Ambassador's First and Last Name
*
First Name
Last Name
Are you a parent or guardian signing up your child?
*
Yes
No
Parent or Guardian's First and Last Name
First Name
Last Name
Email
*
Valid email: example@gmail.com
Phone Number
*
Valid phone number: (123) 456-789
Format: (000) 000-0000.
Would you like to subscribe to the Kenosha County Connection Newsletter?
*
Yes
No
Mailing Address for Certificate
*
Street Address
Street Address Line 2
City
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Texas
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State
Zip Code
Tell us about your pollinator patch.
Upload a photo of your pollinator patch.
Browse Files
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Can we publish your photo on the Kenosha County website and social media?
Yes, I grant permission.
No
Please verify that you are human
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