Bible-madness Registration Form

Name of Team
Name (Team Captain)

First NameLast Name
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Information of Team Members

Teams of 5, Alternate available to fill in if someone drops out.
Team Member 2

First NameLast Name
Phone Number

Area CodePhone Number
Team Member 3

First NameLast Name
Phone Number

Area CodePhone Number
Team Member 4

First NameLast Name
Phone Number

Area CodePhone Number
Team Member 5

First NameLast Name
Phone Number

Area CodePhone Number
Alternate

First NameLast Name
Phone Number

Area CodePhone Number
Confirmation
I give my express and full permission for March of Faith to contact me and provide updates to the contacts provided:

Grant Permission
Signature

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Entry Fee $50.00
Please cashapp $MarchOfFaithMidWest entry fee $50.00 and include your team name in the memo. Thank you

Quantity

Total $0.00
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Contact Information of Team Members