GBN Adult - Conservation Report

GBN ADULT Clubs - Conservation Report

Complete a conservation project during the year (improving fish habitat, lake clean-up, adopt-a-mile, etc.)

Provide a brief description of the project (who, what, where and when).

*REQUIRED (INCLUDE PICTURES, NEWSPAPER CLIPS, ETC.)

GBN Club Name*
Club Name
GBN Club Number*
Club Number
Submitter Name (Club Officer)*

First NameLast Name
Submitter Email*
example@example.com

Date of conservation project*

MonthDayYear
Date
Media Coverage*

TV/Radio/NewspaperInternetNONE
URL link - provide url link for event coverage*
Enter URL
TV/Radio/Newspaper - provide media name and date of coverage*
Enter media outlet
Number of Club members involved*
Number of hours involved for the conservation project*
Total man-hours (auto populated per info provided above)

Conservation Project Description - Details*

YES - Enter description below (NO limit on text entry) ORNO - UPLOAD required file with project description (text file or MS Word file OR PDF file)
File Upload - Please upload 1 file for Conservation Project description (pdf, doc, docx, txt, rtf, zip)*

PLEASE note file types
Cancelof
Please enter detail description of Conservation Project (who, what, where)*
Conservation Project Description

File Upload - Photographs (REQUIRED - must provide photos) (mp3, wma, mpg, flv, avi, jpg, jpeg, png, gif) MAX number of files is 5 and size is limited to 5MB or less per file*

Cancelof

Club Officer Signature*

Clear
Please verify the CAPTCHA and SUBMIT*
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