KY JBQ Registration Form

CORVETTE INVITATIONAL

REGISTRATION FORM

CHURCH INFORMATION

Church Name:

Church Address:

Church Phone Number:

Division: West ______ Central_______ East_________

# of Electronic Quiz boxes _____________ (with a minimum of 8 paddles)

COACH'S INFORMATION

Coach's Name:

Coach's Address:

Coaches Phone :

Assistant Coach's Name:

Assistant Coach's Address:

Assistant Coach's Phone:

OFFICIAL'S INFORMATION

Official's Name

Official's Address:

Official's Phone:

Official's Duties: _____Quizmaster _____Timekeeper _____Scorekeeper _____Judge

Official's Name

Official's Address:

Official's Phone:

Official's Duties: _____Quizmaster _____Timekeeper _____Scorekeeper _____Judge

FOR OFFICIAL USE ONLY

Paid Regis. ____Y ____N

Rqd. Officials _____Y ____N

League ______A _____B

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