Church Registration
2010-2011 JBQ Season
Please Submit by TBD

[Last updated on Wednesday, August 18, 2010] 

Please fill in the following information and select the "Submit" button at the bottom of the form.  Then send your check for the registration fee to the address listed below.

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

 

COORDINATOR (CONTACT) INFORMATION
Name:
Address:
City:
State:
Zip:
Phone
Email Address:
Preferred method of contact:	Email     Regular Mail     Phone

 

 

FEE INFORMATION
Registration Fee:	$ 25 per Church  + $ 50 per Searcher team  + $ 50 per Discover team  + $ 40 per Pee Wee team
Number of Teams:	0 1 2 3 4 5 6 7 8 9 10 Searcher      0 1 2 3 4 5 6 7 8 9 10  Discover      0 1 2 3 4 5 6 7 8 9 10 Pee Wee
(click on the button to calculate the total fee)	$     for     total teams

 

HOSTING LEAGUE MEETS Are you capable of hosting any of the league meets?
Meet 1 - October 2, 2009:	Yes    No       0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Rooms
Meet 2 - November 13, 2009:	Yes    No       0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Rooms
Meet 3 - January 8, 2010:	Yes    No       0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Rooms
Meet 4 - February 5, 2010:	Yes    No       0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Rooms
Meet 5 - March 5, 2010:	Yes    No       0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Rooms

 

ADDITIONAL COMMENTS

Validation Question (Required)

Is fire hot or cold? (Enter "hot")

Click on the Submit button to register your church.

        

Please check the list of "Registered Churches" and if your church is not on the list
 within 72 hours, please send an email to
webadmin@indianajbq.com.

 

Please send your check (payable to First Assembly of God) to:

JBQ Registration
c/o Barry Jorris
First Assembly of God
1400 West Washington Center Road
Fort Wayne, Indiana 46825 
 

FOR MORE INFORMATION, CONTACT:

Pastor Barry Jorris Phone: 260-490-8585 Email:  kidsrap@juno.com

Copyright 2007 Indiana District JBQ. All rights reserved.

Contact the web designer with questions or comments about this web site
by clicking here:

Junior Bible Quiz graphics, logos, product images, and service names are trademarked by the General Council of the Assemblies of God. Use of these images and trademarks without written authorization is forbidden and is a violation of federal and international laws.