10 Million Kids Outdoors Registration

1. Your First and Last Name *This question is required.

2. Your Title

3. Organization Name *This question is required.

4. Organization Address *This question is required.

5. Organization City *This question is required.

6. Organization State (use two digit abbreviation) *This question is required.

7. Organization Zip Code *This question is required.

8. Your Phone Number *This question is required.

9. Your Email Address *This question is required.

10. Please include any additional email addresses associated with your organization's work getting kids outdoors

Email 2
Email 3
Email 4
Email 5

11. Using your best estimate, how many children (under the age of 18) participated in environmental education or nature programs/events lasting at least 90 minutes through your organization between January 1, 2014 and December 31, 2014? *This question is required. This question requires a valid number format.