Big Tree Application ~ MD Association of Forest Conservancy District Boards

Big Tree Nomination

* All Person Info fields are required except middle name. Fill out only the Tree Info fields for which you have information.

First Name: Middle Name: Last Name:

Street Address: City:

County: State: Zip Code:

Home Phone: Email Address:

() -

Verify That You Are Human:

one plus 6 equals (spell it out)

Common Name: Latin Name:

Nominator: Register # BT:

Measurer: Date Measured:

/ /

Qualifications of Measurer:

Circumference: Height:

ft. in.

Average Crown Width: Total Points:

GPS Coordinates:

Location/Health/Appearance of Tree: