Lake Explorer Quest Form

Lake Explorer Quest Patch Request Form

It's easy and fun to earn your Lake Explorer Quest Patch!

Here's how:

- Explore three New Hampshire lakes or ponds by canoe, kayak, paddleboard, or other paddle boat.

- Before and after paddling, implement the "Clean, Drain, & Dry" practice to prevent the spread of aquatic invasive species.

- Practice paddling safely on your excursion.

- Document the dates and locations of your explorations on the form below. You will receive your Lake Explorer Patch and certificate of completion in the mail in a few weeks.

NH LAKES Visitor Register: Location 1

Date Explored: *

Lake/Pond Explored: *

Town(s) Lake/Pond is Located: *

Notes about your trip (optional):

NH LAKES Visitor Register: Location 2

Date Explored: *

Lake/Pond Explored: *

Town(s) Lake/Pond is located: *

Notes about your trip (optional):

NH LAKES Visitor Register: Location 3

Date Explored: *

Lake/Pond Explored: *

Town(s) Lake/Pond is located: *

Notes about your trip (optional):

Certification *

By checking this box, I certify that I cleaned, drained, and dried my paddle boat and gear before and after each excursion.

Certification *

By checking this box, I certify that I implemented safe boating practices during each excursion.

Your information:

First Name *

Last Name *

Street *

City *

State *

Zip *

Email *

Age (please select one): *

younger than 18

older than 18

___________________________________________________________________

If more than one person completed the quest with you, please enter their information below.

Participant 2

First Name

Last Name

Age

Email

Address

City

State

Zip Code

Participant 3

First Name

Last Name

Age

Email

Address

City

State

Zip Code

Participant 4

First Name

Last Name

Age

Email

Address

City

State

Zip Code

___________________________________________________________________

Please share your experience by emailing us photos of your explorations! (click here to email photos to info@nhlakes.org)

By submitting photos, you are granting the New Hampshire Lakes Association the right to use your picture, image, or likeness, for promoting the Lake Explorer Program and the work and mission of the New Hampshire Lakes Association. If you are under 18 years old, your parent(s) or legal guardian(s) must give the New Hampshire Lakes Association permission to use your photos.

Photo Waiver: I hereby waive all rights of privacy or compensation which I/we may have in connection with such use of my/our picture, image, or likeness.

Waiver:

By checking this box, I certify that I am 18 years or older and waive all rights of privacy or compensation as stated above.

By checking this box, I certify that I am the parent or legal guardian of the participant named on this form and is under 18 years old. I waive all rights to privacy and compensation as listed above.