Registration form

Church Information

Church Name:
Mailing Address:
City:
Zip:
Church Phone:
Fax Number (most accessible to you):
Senior Pastor:
Pastor directly over JBQ:

Quizzer Information:

Name of Quizzer:		Grade
1. First:	Last:
2. First:	Last:
3. First:	Last:
4. First:	Last:
5. First:	Last:
6. First:	Last:
7. First:	Last:
8. First:	Last:

Coaches Information

Coach's Name:
Mailing Address:
City:
Zip:
Home Phone:
Work Phone:
Cell Phone or Pager:
Email Address:
Assistant Coach's Name:
Team Name:

League Information

(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.)

North League	(North Houston, Houston and Neches Valley Sections)
Coastal League	(Gulf Coast, San Jacinto and Beaumont Sections)
West League	(San Antonio Section)
South League	(Yoakum, Corpus Christi and Rio Grand Sections)
	Uncertain

Choice of Division

At what level do you expect this team will compete?

Comments

Please Note: Fees to compete in the South Texas District in 2006-2007 are as follows:
$60 for the first team registered, $35 for each additional team.

Payment must be received by November 11, 2006.

Please make your check payable to South Texas Jr. Bible Quiz and mail the check and the signed Registration Forms to:

Christian Education / JBQ
PO Box 9714
Houston, TX 77213

(Once submitted, you will be taken to a page that you may print for your records)