Get Offline, Get Outside Challenge Submission Form

Directions:

Complete all 50 items on the Get Offline, Get Outside Activity List before you turn 19! Once you have finished all 50 activities, fill out this form and receive a commemorative sticker from DEC, marking your accomplishment.

Rules:

1. Challenge must be completed before the age of 19.
2. One entry allowed per person.

After you click DONE, you'll be directed to a link to download a customizable completion certificate!

Question Title

* 1. Are you a parent or guardian completing this form on behalf of a child (individual under the age of 18)?

Yes

Question Title

* 2. Name of participant:

First Name

Last Name

Question Title

* 3. Age of participant:

Question Title

* 4. Address:

Street

City

State

Zip Code

Question Title

* 5. Email:

Question Title

* 6. Photo Submission:

Submit a photo from your favorite Get Offline, Get Outside adventure for a chance to be featured on DEC social media or print publications!

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

Question Title

* 7. Photo Authorization: Do you authorize the use of your pictures on DEC social media pages and print publications?

Yes