Maryland Association of Soil Conservation Districts
Western Maryland Region
Conservation Education Speak-off
Saturday, March 14, 2015 starting at 9:00 AM
Frederick County Extension Office
Name:______________________________________
Age: ________
Grade:_____________
Home Address:________________________________________________________________________
City: _________________________ State: ________ Zip:____________ County:_________________
Home/Parent Phone: ___________________________
Cell Phone: ____________________________
Parent/Guardian Signature: ______________________________________________________________
Select One: 4-H______ FFA______ Home School_________ High School Science class____________
Name of Adult Leader, Advisor, Teacher:____________________________________________________
Select One: I will be able to present my speech in person ______
I will need access to a video feed for my presentation _______
Speak-off Theme for 2015: “Local Heroes-Your Hardworking Pollinators”
Information on the topic can be found at http://nacdnet.org/education/resources
To enter the Speak-off, return the following materials no later than FRIDAY, FEBRUARY 27, 2015:
___________registration form _____________bibliography
To: Mr. Denny Remsburg
District Manager, Frederick SCD
92 Thomas Johnson Drive
Suite 230
Frederick, MD 21701
Email: dremsburg@comcast.net