Church Registration
Use this registration form to register your church at the beginning of the quiz season.  
Use the meet registration form to submit your team(s) roster, officials and other necessary information.
Please fill in the following information and select the "Submit" button at the bottom of the form.
( Do not press the "Enter" key while filling out the form. Doing so will submit the form.)


CHURCH INFORMATION
Name:
Address:
City:
State:
Zip:
Phone:
Email:

COORDINATOR (CONTACT PERSON) INFORMATION
Name:
Address:
City:
State:
Zip:
Home Phone:
Cell Phone:
Email:

TEAM(S) INFORMATION
Division: East     West     Not Sure
Number of Teams:
A-League (up through 6th grade):

B-League (up through 3rd grade):
C-League (K and 1st grade):

Number of working quiz boxes:


ADDITIONAL COMMENTS

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!
captcha image

After submitting the form, please send your registration fee
($50 per A-League and B-League team - checks made payable to KY Jr. Bible Quiz) to:


Paul Markwell
8306 Cabin Hill Road
Louisville, KY  40291

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