Heartland Registration Form - 2007
Date: November 16th & 17th, 2007
Location: Grace Evangelical Free Church,
Registration deadline:
(please fill out completely)
Team Info Coach Info
Quiz League:____________________
Coach
Name:___________________________
(i.e. "Rochester YFC", etc…) Address: _______________________________
Team Name:_____________________ City/State/Zip: __________________________
Division (circle one): Coach Phone #: _________________________
Varsity Little League & E-mail: ________________________
Quizzer Information
(Include name,
grade and denote 1st year quizzers with *)
Quizzer #1:
___________________________ Grade: ____
Quizzer #2: ___________________________ Grade: ____
Quizzer #3: ___________________________ Grade: ____
Quizzer #4: ___________________________ Grade: ____
Quizzer #5: ___________________________ Grade: ____
If your team cannot quiz Friday night, please say so here or contact John
Raygor (info below)
_____________________________________________________________________
Registration
Deadline: Team registration must be
received by November 5th.
Send registration (with
"Lodging Information" sheet) to:
John Raygor -
Contact Information:
For lodging information, directions, and any questions or comments regarding the event, contact:
John
Raygor Address: 618
Phone: (507)
202-6247; E-mail: raygo014@umn.edu
OR…
Paul
or Annette Raygor Address: 618
Phone: (507)
533-6658; E-mail: paraygor@charter.net
World Bible Quiz Association---www.wbqa.org
_____________________________________________________________________________________
Yes, I want to attend the 2007 Heartland Open. I
understand that the tournament will not be held responsible for harm, injury,
or anything else that may happen during the event to myself
or a quizzer.
Coach Signature: __________________________________________
Date: ___________________