WBQA Chicago '10 Registration Form

Please register as early as possible.

We need to receive your initial registration and team fee by March 13 (Registration must be made by March 6 to receive discounted team fee). Updates to rosters are due March 17. Team fees are due by March 13.

Please follow carefully the registration instructions to the right >>>

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WBQA Chicago Registration Form

Program Name:
City and State:
Contact Email:

* Total Number of VAR Teams:
* Total Number of JV Teams:
* Total Number of LL Teams:
* Total Number of Novice Teams:

Total Fees ($65 per team by March 6, $80 per team after):

Division (VAR / JV / LL / NOV):
Team Name (Team 1):
Coach Name (Team 1):
Coach Email (Team 1):
Coach address, city, state, zip (Team 1):
Assistant Name (Team 1):
Quizzer Name (Team 1):
Quizzer Name (Team 1):
Quizzer Name (Team 1):
Quizzer Name (Team 1):
Quizzer Name (Team 1):
Quizzer Name (Team 1):

Division (VAR / JV / LL / NOV):
Team Name (Team 2):
Coach Name (Team 2):
Coach Email (Team 2):
Coach address, city, state, zip (Team 2):
Assistant Name (Team 2):
Quizzer Name (Team 2):
Quizzer Name (Team 2):
Quizzer Name (Team 2):
Quizzer Name (Team 2):
Quizzer Name (Team 2):
Quizzer Name (Team 2):

Division (VAR / JV / LL / NOV):
Team Name (Team 3):
Coach Name (Team 3):
Coach Email (Team 3):
Coach address, city, state, zip (Team 3):
Assistant Name (Team 3):
Quizzer Name (Team 3):
Quizzer Name (Team 3):
Quizzer Name (Team 3):
Quizzer Name (Team 3):
Quizzer Name (Team 3):
Quizzer Name (Team 3):

Division (VAR / JV / LL / NOV):
Team Name (Team 4):
Coach Name (Team 4):
Coach Email (Team 4):
Coach address, city, state, zip (Team 4):
Assistant Name (Team 4):
Quizzer Name (Team 4):
Quizzer Name (Team 4):
Quizzer Name (Team 4):
Quizzer Name (Team 4):
Quizzer Name (Team 4):
Quizzer Name (Team 4):

Division (VAR / JV / LL / NOV):
Team Name (Team 5):
Coach Name (Team 5):
Coach Email (Team 5):
Coach address, city, state, zip (Team 5):
Assistant Name (Team 5):
Quizzer Name (Team 5):
Quizzer Name (Team 5):
Quizzer Name (Team 5):
Quizzer Name (Team 5):
Quizzer Name (Team 5):
Quizzer Name (Team 5):

Division (VAR / JV / LL / NOV):
Team Name (Team 6):
Coach Name (Team 6):
Coach Email (Team 6):
Coach address, city, state, zip (Team 6):
Assistant Name (Team 6):
Quizzer Name (Team 6):
Quizzer Name (Team 6):
Quizzer Name (Team 6):
Quizzer Name (Team 6):
Quizzer Name (Team 6):
Quizzer Name (Team 6):

Division (VAR / JV / LL / NOV):
Team Name (Team 7):
Coach Name (Team 7):
Coach Email (Team 7):
Coach address, city, state, zip (Team 7):
Assistant Name (Team 7):
Quizzer Name (Team 7):
Quizzer Name (Team 7):
Quizzer Name (Team 7):
Quizzer Name (Team 7):
Quizzer Name (Team 7):
Quizzer Name (Team 7):

Division (VAR / JV / LL / NOV):
Team Name (Team 8):
Coach Name (Team 8):
Coach Email (Team 8):
Coach address, city, state, zip (Team 8):
Assistant Name (Team 8):
Quizzer Name (Team 8):
Quizzer Name (Team 8):
Quizzer Name (Team 8):
Quizzer Name (Team 8):
Quizzer Name (Team 8):
Quizzer Name (Team 8):

 

Instructions

Send any questions to matthewdcooke@gmail.com

1. Cut and Paste the entire form into your email or word processor.

2. Fill in one name or item per line (leave extra items blank).

3. Copy the edited form into your email. Please do not send attachments.

4. Use the subject line: "Chicago Registration" and send to matthewdcooke@gmail.com

5. Save your copy. If you need to update the info, edit and resend the entire form with subject title: "Corrected WBQA Registration"

6. You should receive a reply that says "thank you" within two days of submitting. Look for a final confirmation of your rosters by March 24. If you do not receive these confirmations, please contact us immediately.

Make checks payable to WBQA and mail to:

WBQA
2001 Washington Boulevard
Glassport, PA 15045