2017 – 18 West Texas District Registration

Coach's Information:

Coach's Name (required)

Coach's Email (required)

Coach's Contact Phone (required)

Team Name

Church Name

Quizzer's Information:

Quizzer 1 (required)

Quizzer 2

Quizzer 3

Quizzer 4

Quizzer 5

Quizzer 6

Quizzer 7

Quizzer 8

Division of Competition - A Division, I Division or B Division

Send $50.00 for 1st team, $30.00 for each additional team Registration Fee to:

Mark Silva
3801 98th St
Lubbock TX 79423

Additional Information