Team Name ___________________________________________________________

Team Home Web Page? _________________________________________________

Team Primary E-Mail Address?___________________________________

(This will be the address that we will use to send the team race information.)

Personnel Data ___Solo ___Team

_____EcoQuest ____ Mini Quest

Name__________________________________________Male___ Female___ Age___

Address_________________________City_______________State____Zip_________

T-Shirt Size SM___MED___LG___1X___2X___3X__

Name__________________________________________Male___ Female___ Age___

Address_________________________City_______________State____Zip_________

T-Shirt Size SM___MED___LG___1X___2X___3X__

In the ECHO Eco Quest/ Mini Quest you are allowed to use your own Canoe

if you wish to do so. Solo racers are required to provide their own Kayak. Will you be bringing you own Canoe or Kayak?

___No, I will be using one of the rental outfitters canoes.

___Yes, I will be bringing my own. ____ Canoe ____ Kayak

Thoughts and or Comments,______________________________________________

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

Do you want any additional shirts for your support crew (i.e. Friends and Family, Donors, Sponsors)

T-Shirt Size SM___MED___LG___1X___2X___3X__

(Note, The T-Shirts are free for the racers, but due to the high variability of the number of support

members a team may have, we need to charge $10.00 per shirt for the non-racers, Sorry)

==================================================================

Entry Fee Calculator Sheet.

EcoQuest Entry Fee $100.00 per person, ___________X $100.00 ea=____________

Mini Quest Entry Fee$30.00 per person,____________X $30.00 ea =_____________

Extra T-Shirts for Support Crew, At $10.00 each, ___________ X$10.00 ea=________

(Number of Shirts) (Sub-Total)

Additional Donations at time of Registration (may be turned in later)                                          ___________

Grand Total entry fee for team______________________________ Total__________

ECHO

Our Mailing Address is:

Emergency Care Help Organization
507 North Parsons Avenue
Brandon, Florida 33511

Please Have all paperwork, These data forms, and the completed and signed

PARTICIPANT RELEASE OF LIABILITY and IMAGE RELEASE form, as well as the

entry fee in our office before the entry deadline of March 29,2007.