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West Texas District Junior Bible Quiz

Team Registration for 2008-2009 Season


 Coach's Information:
Coach's Name:   
Mailing Address:  
City:   
Zip:  
Daytime Phone:   
Evening Phone: 
Cell Phone: 
Email Address
Assistant Coach's Name: 
 Team Name:  
 

Quizzer Information:

Name of Quizzer: 

Grade
1. Name: 
2. Name:  
3. Name:
4. Name:
5. Name: 
6. Name: 
7. Name: 
8. Name: 

Church Information:

Church Name:  
Mailing Address:   
City:   
Zip:   
Church Phone:   
Fax Number (most accessible to you):
 Pastor: 

Area of competition:(If you are unsure about the section in which your team will compete, leave the "Uncertain" button checked and the district coordinator will contact you.)

   South   North
      Uncertain

Level of competition:

A League or B League?       

 
Send $20.00 Registration Fee to:

Stacy Akins

208 Floyd

Dumas,  TX  79029

 


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Copyright © 2007 West Texas District JBQ. All rights reserved.
Last modified: 10/06/08.