2013 NL ENVIROTHON REGISTRATION FORM
Please provide your team with a name for use during the event.
Team Name: ______________________________________ School Info School Name: _______________________________________________ Phone: ___________________________
Fax: ___________________________
Mailing Address: ________________________________________________________ Email Address: _________________________________________________________ Principal’s Name: _______________________________________________________ Teacher Info – Please designate only one official coach per team Name: ______________________________
Shirt Size: ______
School Phone: ________________________
Email: _________________________
Home Phone:
Food Allergies: __________________
________________________
I have read the rules of NL Envirothon and agree to abide by the rules both in relation to the provincial event and Canon Envirothon if our team is given the opportunity to represent the province at this event. Signed __________________________________ Student Info – Each student must complete a medical/photo release form and return with this registration in order for team registration to be complete. While food allergies will be considered by the catering staff, students are encouraged to bring along their own supplies if they have a severe allergy or aversion. Student 1 Name: Level (circle) I
Shirt Size: II
III
Food Allergies: __________________
Student 2
Name: Level (circle) I
Shirt Size: II
III
Food Allergies: __________________
Student 3
Name: Level (circle) I
Shirt Size: II
III
Food Allergies: __________________
Student 4
Name: Level (circle) I
Shirt Size: II
III
Food Allergies: __________________
Student 5
Name: Level (circle) I
Shirt Size: II
III
Food Allergies: __________________
Special Requirements (other than food allergies):
Deadline for registration is April 4th. There will be a restricted number of teams to ensure a quality and logistically coordinated event. Schools may register more than one team only if room permits. Completed registration form and $300.00 per team (5 students and one teacher) registration fee should be made payable to: Model Forest of Newfoundland and Labrador P.O. Box 68 Corner Brook, NL A2H 6C3 Fax: (709) 634-0255 One extra teacher/coach may attend at a rate of $50. Any extra attendees need to be negotiated with the Envirothon co-ordinator prior to the event. If you require further information please contact: NL Envirothon Coordinator Model Forest of Newfoundland and Labrador (709) 637-7300 mchase@mfnl.ca