2009 Great Lakes Region JBQ Tournament Registration

REGISTRATION DUE IMMEDIATELY AFTER YOUR DISTRICT COMPETITION
Registration Fee is $95 per team

Registration deadline is April 12, 2010.

A $20 late fee will be assessed to any teams not registered by that date.

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 City:
Church State:

COACH INFORMATION
Coach Name:
Coach Email:
Coach Phone:
Coach Cell Phone:

TEAM INFORMATION
Team Name:
Team Place at Districts:

LAPTOP INFORMATION We need 12-14 laptops for keeping score electronically in each room. Please indicate below the number of laptop computers that you can provide.
Number of Laptops you can provide:

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

Each church is required to bring at least two officials per team registered.

Each church is encouraged to provide at least 1 QuizMaster or ScoreKeeper for every team registered.

If you are able to bring more, please list their information in the extra spaces below.

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

ADDITIONAL COMMENTS

Each church must bring at least one quiz set (with 8 working paddles and an extension cord)
for every team registered.

$95 Registration Fee per team

Registration deadline is April 12, 2010.

A $20 late fee will be assessed to any teams not registered by that date.

Please remember to send your check (payable to "Illinois Student Ministries" (Great Lakes JBQ in the memo)) to:

llinois Student Ministries
attn: Great Lakes JBQ
17280 Lakeside Drive
Carlinville, IL 62626

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

By submitting this registration form, you consent to having any and all pictures
taken during the tournament to be posted on this website.
You also consent to having any and all names and results of the participants posted on this website.

After submitting this registration form,
you will be directed to another web page that acknowledges that your registration has been successfully submitted.
If you do not see this page, please check your registration form for any errors.

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!

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

For further information, contact Todd Papendick at:
Cell: (630) 653-1132
Email: j.b.q "AT" sbcglobal.net