BE THE BEST COMMUNITY SITE  FOR CONNECTING KIDS TO NATURE!
 WHERE CHILDREN AND HAPPIER, HEALTHIER AND SMARTER!

Recipients of this award indicates an endorsement of support for the Ohio Children's Outdoor Bill of Rights and documents sites support to enable these rights listed 1-9 for children. Awarded by Miami Valley Leave No Child Inside and Dayton Regional Green with major collaboration by MVLNCI partners:  Five Rivers MetroParks, Miami County Park District, Centerville–Washington Park District and  Dayton Children’s Hospital.
Sign in to Google to save your progress. Learn more
Email *
A door decal similar to this is awarded to all successful applicants along with a congratulatory letter from Miami Valley Leave No Child Inside Board.   An optional banner is also provided pending self or sponsored funding. When filling out this form, action option statements ending in a # sign are referenced in the "Resources to help meet award criteria for sites." found on the MVLNCI website. http://bit.ly/MVLNCI
SITE NAME *
CONTACT FIRST NAME *
CONTACT LAST NAME *
CONTACT TITLE *
CONTACT EMAIL *
CONTACT PHONE # *
MVLNCI acknowledges that without administrative support, staff efforts to connect children to nature at sites generally diminish over time.  Please confirm this statement: Our leadership supports the efforts to connect children to nature at this site.  Please list the leadership administrators name below. *
Background Video: "Why Children Need the Outdoors," inspired by Richard Louv's book "Last Child In the Woods" and the Children and Nature Network.
Key site staff required to review the above four minute video, "Why Chidren Need the Outdoors." We acknowledge that our key staff have reviewed this video
Clear selection
1.  BE PHYSICALLY ACTIVE AND PLAY OUTSIDE EVERY DAY TO GROW UP HEALTHY.
(must accomplish 3)
Please cite example:
Please cite example:
Please cite example:
2.  HAVE ACCESS TO SAFE, NATURAL GREEN SPACES IN THEIR COMMUNITY.
(must accomplish 4)
Please cite example:
Please cite example:
Please cite example:
Please cite example:
Please cite example:
Please cite example:
3.  CONNECT WITH NATURE, WITH FREE TIME TO EXPLORE THE OUTDOORS.
(must accomplish 2)
Please cite example:
Please cite example:
Please cite example:
4.  DISCOVER THE WONDER OF PLANTS AND ANIMALS, LARGE AND SMALL, USING ALL FIVE SENSES.
(must accomplish 3 with special encouragement to accomplish the first option: creating an outdoor learning area big or small)
Our facility has an outdoor natural area that can be used for exploration and we have completed the survey about this area at this link https://docs.google.com/forms/d/1Tigku-8TannkF1KchFcHN_-7QWCp5kVMAXBhsvGe_kM/edit?usp=sharing 
Please cite example:
Please cite example:
Please cite example:
5.  EXPLORE THE DIVERSITY OF OHIO'S NATURAL HABITATS.
(must accomplish 2)
Please cite example:
Please cite example:
Clear selection
Please cite example:
6.  UNDERSTAND THE PATTERNS AND CYCLES IN NATURE.
(must accomplish 2)
Please cite example:
Clear selection
Please cite example:
7.  EXPERIENCE THE JOYS OF SPLASHING, PLAYING AND SWIMMING IN SAFE, CLEAN LAKES AND STREAMS.
(must accomplish 1)
Please cite example:
Please cite example:
8.  BE FULLY IMMERSED IN NATURE BY CAMPING OVERNIGHT.
(must accomplish 2)
Please cite example:
Please cite example:
Clear selection
Please cite example:
9.  LEARN HOW TO GIVE BACK TO NATURE.
(must accomplish 5)
Please cite example:
Please cite example:
Please cite example:
Please cite example:
Please cite example:
Please cite example:
Clear selection
Please cite example:
Please cite example:
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy