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West Texas District Junior Bible Quiz Site!

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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