CATEGORY :    Essex County Dragon Boat Festival reserves the right to change categories without notice.            (select only one)  
(   ) Mixed Recreational  (   ) Mixed Competitive

TEAM SPONSOR: (if applicable):_________ ________________________________________  

TEAM MANAGER: _____________________________________________________________

Address:______________________________________________________________________

City:__________________  _   Prov :                       Postal:_____________________          _

Business Phone:(        )______ ___________Home Phone:(         )____________ _____       

Business Fax: (         )_____                           Email:___       _______________  _________

TEAM CAPTAIN: _______________________________________________________________

Address:______________________________________________________________________

City:_____________               Prov:                     Postal: _____________________________

Business Phone: (         )___ ____________Home Phone: (         )______________________

Business Fax: (            )_______________Email:____________________________________

Registration Fee enclosed: $ _____________                                                             All categories:   $750.00

�        Full payment must accompany the completed registration form for processing.
�        Make cheques payable to Essex County Dragon Boat Festival                         **NO REFUNDS**      Event occurs rain or shine

Please return completed registration form and registration fee to:

Essex County Dragon Boat Festival  
c/o FMGI Dragon Boats 
692 Osborne Street, Winnipeg, Manitoba R3L 2B9  
Phone (888) 679-4222                                                                                                            Fax (204) 982-1835