Bible Quiz Registration

Each church must complete, sign, and fax the following form to the Dixie Shores Missionary (334-514-3136) prior to participating in events.

(This is an annual requirement and must be completed only once per club year!)

            Click Here to Download Form -  sign and fax to 334-514-3136, or scan and email to brucep@awana.org, or bring to Spring Event Training.
 

All fields are required

Church Name:    

Church City/State:    

Key Contact Person (KCP):    

KCP Phone Number:     Please include Area Code

KCP Email Address:    

KCP Mailing Address:    

KCP City State and ZIP:      State:       Zip:    

Event Location:     Mary Esther Sylacauga

Number of Book 1 Teams:     Enter 0 if none

Number of Book 2 Teams:     Enter 0 if none

Number of Book 3 Teams:     Enter 0 if none

Number of Book 4 Teams:     Enter 0 if none

1st Staff Person  (must be an adult and not a coach):    

2nd Staff Person (must be an adult and not a coach):    

3rd Staff Person (can be an LIT and not a coach):    

Any additional volunteers that will help either adult or teens:

After completing all fields above press SUBMIT below to be transferred to the payment processor to complete your registration.   No registration will be processed without full payment!