Champion & Heritage Tree Nomination Form

Please review the nomination guidelines before submitting.

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DATE SUBMITTED *

Month

Day

Year

Category for consideration *

Tree Species: *

Height *

Circumference of the trunk at 4.5 feet *

Crown Spread *

Upload photos

Choose a file

Files must be less than 50 MB.
Allowed file types: jpg jpeg png.

TREE LOCATION

Nearest town *

Specific directions or address: *

County *

GPS coordinates, if available

Nominator Information

Name *

Address *

City *

State *

Zipcode *

Telephone *

Email *

Tree Owner Information

Only fill out if different than nominator.

Owner Name

Owner Address

Owner City

Owner State

Owner Zipcode

Owner Telephone

Owner Email

Heritage Tree

Tree species *

Tree location *

Tree Name (if applicable)

County Museum or Historical Society *

Explain the tree's historical significance *

Upload photos and documents

Choose a file

Files must be less than 50 MB.
Allowed file types: jpg jpeg png eps psd txt rtf html pdf doc docx ppt pptx xls xlsx.

Leave this field blank

Champion & Heritage Tree Nomination Form

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