Registration Form


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Registration Form Event Date: May 18th, 2018 Registration includes participation in the quiz bowl, snacks, and dessert. Prizes will be awarded for 1st, 2nd, and 3rd place teams as well as Best Team Name, Best Team Spirit, and Best Decorated Table. All teams must be pre-registered. Payments can be made by cash, check, or Paypal. Contact Keshia Meissner at 515-244-4713 or [email protected] if you have any questions. Team Sign-up Information •

A team consists of a maximum of 8 players. There is no minimum number of players.



Early Bird Discount - Registration received by April 13th: Cost per person is $25, or $200 for a team of 8. Early bird full team registration includes free “Oopsies”. One set of “Oopsies” allowed per team.



Registration received after April 13th: Cost per person is $30, or $240 for a team of 8. “Oopsies can be bought at Quiz Bowl (5 for $10). One set of “Oopsies” allowed per team.



Each team will need a team captain.

Individual Sign-up Information •

Individuals who are not part of a team may sign up and will be assigned to a team.

Team Name: Team Captain or Individual Registrant’s Name: Address:

City/State/Zip:

Phone (Day):

Phone(Evening):

Email: Team Member Names:

Registration Amount ...............................................................................................................$ I am registering, and here is my additional donation of ....................................................$ I can’t make Beacon of Life Quiz Bowl, but here is my donation of ................................$ Total Due: $ Beacon of Life, A Residential Center for Women 1717 Woodland Avenue, Des Moines, IA 50309

Tel: 515-244-4714 | Fax: 515-244-4724 www.beaconoflifedm.org