Any teams registering after January 1st will be assessed a $10 late fee.

Each team must bring at least one quiz set (with timer or a stop watch) and an extension cord.

John Crabtree Invitational Tournament Registration

Please fill in the following information and select the "Submit" button at the bottom of the form.
Then send your check for the registration fee to the address listed below.

(Please submit a separate form for each team.)

Do not press the "Enter" key while filling out the form. Doing so will submit the form.

CHURCH INFORMATION
Church Name:
Church Address:
Church City:
Church State:
Church Zip:
Church Phone:

COACH INFORMATION
Coach Name:
Coach Address:
Coach City:
Coach State:
Coach Zip:
Coach Phone:
Coach Email:
Cell Phone of someone traveling with your group:

Each team is required to bring at least two officials. Please bring as many as possible.

OFFICIALS INFORMATION
Name	Positions (check all that apply)	Experience
	QM SK TK J
	QM SK TK J
	QM SK TK J
	QM SK TK J

TEAM INFORMATION
Team Name:

QUIZZER INFORMATION
	Name	Years Quizzing	Grade	Age
Quizzer 1:
Quizzer 2:
Quizzer 3:
Quizzer 4:
Quizzer 5:
Quizzer 6:
Quizzer 7:
Quizzer 8:

ADDITIONAL COMMENTS

Antispam code - Please enter the 3 black characters in the image (below, left) in the text box (below, right) before selecting "Submit". If you do not, you may lose all of the information you entered!

Each team must bring at least one quiz set, stop watch and extension cord.

$50.00 Registration Fee

Please print out this registration form and mail it along with a check (payable to "First Assembly of God") to:

Pastor Mark List
1st Assembly of God
428 N Walnut
Danville, IL 61832

(If not sending a church check, please write your church name on the check or include it on a note.)

[Press the above button to submit your registration form.]

Any teams registering after January 1 will be assessed a $10 late fee.

For further information, contact Pastor Mark List at:
Phone: 217.442.1371
Email: list97@yahoo.com

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