Envirothon Registration

West Virginia Envirothon Registration Form

Team Registration
Team Name:
School:
County:
Address: Street
City	Zip
Number of teams? ($50 per team)
Number of alternates?
Attending the optional teaching day?

*NOTE*: You must have a male/female chaperone or assistant advisor if you have both males and females on your team.

Team Advisor:
Name: First	Last
Address: Street
City	Zip
Phone Numbers: Work	Home
Other: Fax	Email
Gender:

Assistant Advisor:
Name: First	Last
Address: Street
City	Zip
Phone Numbers: Work	Home
Other: Fax	Email
Gender:

Male/Female Chaperone:
*(Only if you have the situation stated above)*
Name: First	Last
Address: Street
City	Zip
Phone Numbers: Work	Home
Other: Fax	Email
Gender:

Meals
	Breakfast ($8.00/each)
	Lunch ($7.00/each)
	Dinner ($13.00/each)

Lodging

4/26/07 4/27/07

Rooms:
Single and Double: $60/night*
Triple and Quad: $75/night*
Executive King: $108/night*
Efficiency: $149/night*

Cabins and Cottages:
2 BR Cabin (sleeps 6): $151.20/night
3 BR Cabin (sleeps 8): $169.20/night
4 BR Cabin (sleeps 10): $183.60/night
4 BR Cottage (Sleeps 12): $225.00/night

All prices do not include tax.

*The designation of “single”, “double”, “triple”, “quad” refers to the number of adults occupying the lodge room. All of the lodge rooms contain two double beds. The term “efficiency” designates a sleeping unit with two separate rooms, one containing two double beds, the other a sitting area with small refrigerator, microwave, sleep sofa and chair. An “executive king” is one lodge room with one king bed.

Room/cabin reservations must be made by advisors by March 27, 2007. If reservations are not by this date the WV Envirothon Committee will not guarantee the discounted room rates and or lodging. Room reservations can be made by calling Canaan Valley Resort: 1-304-866-4121.

Teams will have to make their own meal arrangements for 4-26-07

Other
Do you need financial aid?

Comments:
Advisors, In this section please let us know of students’ special needs, food allergies, etc.

The WV Envirothon Committee prohibits discrimination in its program on the basis of race, color, national origin, sex, religion, age, disability, political beliefs, and martial or family status.

Persons with disabilities who require alternative means of communication or accommodations should contact the WV Envirothon Committee.