Collegiate Quiz Bowl Application
Collegiate Chapter Information
Chapter Name
Chapter Advisor
Team Information
Team Number
1
2
Secondary teams will be accepted as space allows
Number of members on the team
2
3
4
Participant 1
Full Name : P1
First Name
Last Name
Member # : P1
E-mail : P1
This is the person who will receive the email confirmation
Participant 2
Full Name : P2
First Name
Last Name
Member # : P2
E-mail : P2
Participant 3
Full Name : P3
First Name
Last Name
Member # : P3
E-mail : P3
Participant 4
Full Name : P4
First Name
Last Name
Member # : P4
E-mail : P4
Alternate
Full Name : Alt
First Name
Last Name
Member # : Alt
E-mail : Alt
Primary Team Contact
Who is the primary contact for the team?
The Chapter Advisor
Participant 1 listed above
Participant 2 listed above
Participant 3 listed above
Participant 4 listed above
Phone Number of the primary team contact:
-
Area Code
Phone Number
By checking 'I Agree' you certify that the above information is true and consent to the rules of the competition.
*
I Agree
Sign up for the Ag Quiz Bowl
Should be Empty: