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North Texas District Junior Bible Quiz

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):
Senior Pastor: 
Pastor directly over JBQ: 

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.)

   Brazos Valley   Northeast
   Denton    Northwest
   Fort Worth    Piney Woods
   Red River   Rose Capital
   Greater Dallas

  Uncertain 

Level of competition:

At what level do you expect this team will compete? 

Comments:

You may send a note to the Area Coordinator (Chuck McCutchen) here:

When you submit this form, you will be shown a confirmation page. Please print that page and mail it, with your payment, to the North Texas District JBQ.

Registration fees:

If you register by September 30 AND pay by November 30, you will receive a $10 discount per team, reflected in the rates below:

bullet

$65 for the first team registered

bullet

$45 for each additional team.

REMEMBER- YOU MUST REGISTER BY SEPTEMBER 30 AND PAY BY NOVEMBER 30 TO RECEIVE $10.00 DISCOUNT PER TEAM! If you do NOT register by September 30 OR pay by November 30, then your registration fees will be as follows:

bullet

$75 for the first team registered

bullet

$55 for each additional team.

Please make your check out to:  NTD Junior Bible Quiz  and mail it, with your confirmation page, to:

North Texas District JBQ
P.O. Box 1188
Hurst, TX 76053

North Texas District Coordinator: Chuck McCutchen

updated March 03, 2008

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