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Event Registration

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JBQ Registration on Friday, December 22, 2017

30.00
THE CHURCH REGISTRATION FEE IS $30 (Already added). CHECK THE BOX FOR THE TYPE OF TEAM (Seacher, Discover, or Pee Wee) THEN USE THE DROP DOWN BOX FOR HOW MANY OF EACH TEAM THERE WILL BE.
55.00 
55.00 
45.00 
Please fill in the following information and click on Next at the bottom for payment processing.
*Total Number of Teams Attending:
*Primary Quizzing Area:
*Church Name:
*Church Address:
*Church City:
*Church State:
*Church Zip Code:
IF THE COORDINATOR'S NAME IS DIFFERENT FROM THE "ATTENDEE" NAME ABOVE, FILL IN THE COORDINATOR INFORMATION BELOW.:
Coordinator Name:
Coordinator Address:
Coordinator City:
Coordinator Zip Code:
Coordinator Email Address:
Coordinator Phone Number:
*Preferred Method of Contact:
MEET HOSTING - We are available to host on the following dates:
MEET HOSTING - # of rooms available for the above dates:
Additional Comments:
Please check the list of "REGISTERED CHURCHES" and if your church is not listed send and email to kehrman5@gmail.com:
"Lifting People Through The Power Of The Cross"
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