Ottawa County Registrants

Write your full name, mailing address, and/or email address in the box below. *

If you prefer to mail a printed registration form, click here to view and print one out. Please mail completed registration forms to LEAD Agency, 223 A Street SE, Miami, OK 74354.

Please sign me up for the following pre-conference activity or activities (select all that apply): *

Thursday, September 20, 5:00 p.m. - LEAD Agency Garden Party Fundraiser - Fish Fry cooked by Afton Masonic Lodge, LEAD Agency office - $7 paid on site Play Tar Creek Frisbee Golf - Monday September 24, 3:00 p.m. - FREE - Call for location Opening Reception - Monday, September 24 in Commons Hall at NEO A&M College, 6:30 p.m.

Reserve my seat on the Toxic Tour. NOTE: Pre-Registration REQUIRED. *

Monday, September 24 - Meet at Miami Civic Center at 1:00 p.m. Plan for 2 hours. Tuesday, September 25 - Leave from Miami Civic Center at 5:00 p.m. for a .short tour. I will be unable to attend either Toxic Tour.

Conference Attendee Registration Options. Registration does NOT include banquet. (select one): *

FREE 2 Day National Conference Registration FREE 1-Day Registration (Tuesday, Sept. 25) FREE 1-Day Registration (Wednesday, Sept. 26) VENDOR Registration 1-Day (Tuesday, Sept. 25) $100 (please call ahead for set-up information and booth requirements) VENDOR Registration 1-Day (Wednesday, Sept. 26 - $100 (please call ahead for set-up information and booth requirements) VENDOR Registration 2-Day - $200 (please call ahead for set-up information and booth requirements)

*** For more information on registration, please call LEAD Agency at 918-542-9399. ***

Please sign me up for the following additional Conference options (select all that apply): *

Bring your items to be tested for lead - Sept. 25, 4 pm (free) Poster Session - Sept. 25, 5:00 pm. (free) $30 PRE-REGISTRATIN REQUIRED - Awards Banquet & Reflections with Pie Auction - Sept. 25, 6:30 - 8:00 p.m. - Pies and auction items are needed and appreciated! $10 Conference T-Shirt. Pay and select size at Conference Registration.

To finalize your registration and (if applicable) process your PayPal payment, please click the Submit button below. We look forward to seeing you!

2018 Tar Creek Environmental Conference
Ottawa County Resident Registration Form

Thank you for registering! Please complete the following items.

2018 Tar Creek Environmental Conference​Ottawa County Resident Registration Form

Thank you for registering! Please complete the following items.

2018 Tar Creek Environmental Conference
Ottawa County Resident Registration Form