This information will be collected and sent to the Assistant Region Manager of the Northwest Region of the Washington State Parks and Recreation Commission in order to select members for this new program for the 22/23 school year.
*The deadline to submit this form is Friday, Oct. 28, 2022. Participants are expected to be chosen and notified by email.
For further information you may contact:
John KeatesAssistant Northwest Region Manager -- Washington State Parks220 N. Walnut St.Burlington, WA 98233
Email: firstname.lastname@example.orgPhone: Office - (360) 755-9231 Cell - (call or text) 360-899-8268
Check all that apply
Please provide an email address so that we may send you information on our youth programs.
This field is not part of the form submission.
* indicates a required field