2008 State Tournament
Registration

March 14-15, 2008

First Assembly of God
108 Beck Lane
Lafayette, IN 47909
765-474-1432

Registration Deadline: March 1, 2008

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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 you wish to register.

Church:
City:
Phone:
Email Address:
Coach:
Assistant Coach:

 

Division:

Searcher       Discover

 

Names and qualifications of two officials representing your team (check all that apply):
	QM  J  TK    SK          [Over 21? Yes  No]
	QM  J  TK    SK          [Over 21? Yes No]

    

	Names of Quizzers:	Awards Quizzer has received this year:
1.
2.
3.
4.
5.
6.
7.
8.

 

Lunch:  $4.00           Total number of meals needed: 

Registration Fee:    $40 per team  (Payment must be mailed by Monday, March 3, 2008)

Please send your check (payable to First Assembly of God - Fort Wayne) to:

Pastor Barry Jorris
First Assembly of God
1400 West Washington Center Road
Fort Wayne, IN 46825

Additional Comments

 

You must press the "Submit" button below to complete your registration.

 

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For further information, contact Barry Jorris at:

Phone:  (260) 490-8585         E-mail:  kidsrap@juno.com

[Last updated on Saturday, February 02, 2008]  

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