2010 Florida Envirothon Registration Form
*Note: To register to compete at the Florida Envirothon your team must first participate at a regional competition and place above all other competing teams from your county. Contact the regional coordinator for your county for more information about Regional Envirothon Competitions.
Name of Regional Envirothon: Choose from list Central Florida Broward County Clay County Everglades First Coast Indian River Lagoon Lake County Manasota Nature Coast Palm Beach Panhandle Southwest Gulf Coast Space Coast Suwannee Tampa Bay Tri-County Volusia None of the above
Team name: County: Choose from list Baker Brevard Broward Calhoun Charlotte Clay Citrus Columbia Duval Glades Gulf Hamilton Hernando Highlands Hillsborough Indian River Jackson Lake Lafayette Lee Liberty Madison Manatee Marion Martin Miami-Dade Monroe Nassau Okeechobee Orange Osceola Palm Beach Pasco Pinellas Polk Sarasota Seminole Suwannee Taylor Volusia
School or Organization: Phone:
Team Advisor: T-shirt Size: Choose from below Small Medium Large X Large 2X Large email:
Second Advisor (if applicable): T-shirt Size: Choose from below Small Medium Large X Large 2X Large
Mailing Address: City Zip Code
Team Members:
T-shirt Size: Choose from below Small Medium Large X Large 2X Large
Alternates:
**Advisor must select FIVE team members to compete. No more than five students are allowed at the competition.
Will your team attend pre-registration events on Friday night? Pizza will be served for dinner. Yes No
****Lunch will be served at the event Saturday. Participants with special dietary needs should bring a lunch.
$20.00 per person, 5 team members plus 2 advisors = $140.00 Registration Fee (non-refundable).
MAIL REGISTRATION FEE TO:
Jennifer Abbey
4505 George Blvd
Sebring, Fl 33875
jennifer.abbey@fl.usda.gov
