Kansas-Nebraska Conference PBE Team Registration
Fill this form once for each team. If you have multiple teams, you will need to fill out this form multiple times.
Club Information
Church Name
*
Club Name:
*
PBE Team Name:
*
We intend to attend PBE:
*
Virtually
On Site
Staff Information
Director's Name
*
First Name
Last Name
Director's Email
*
example@example.com
Area Coordinator Name
*
First Name
Last Name
Area Coordinator Email
*
example@example.com
Director's Cell Phone
*
-
Area Code
Phone Number
Head Coach Name
*
First Name
Last Name
Head Coach Email
*
example@example.com
Head Coach Cell Phone
*
-
Area Code
Phone Number
Team Members
Who is your Scribe?
*
First Name
Last Name
Who is Your Captain?
*
First Name
Team Member 3
First Name
Team Member 4
First Name
Team Member 5
First Name
Team Member 6
First Name
Team Member 7 (Alternate)
First Name
Did your club fill out the Statement of Integrity Form?
*
Yes
I will
No
Did Each of your Pathfinder Families fill out the Online Photo Release Form for each PBE Team Member?
*
Yes
I will ensure they do
No
Confirmation Email
Only the Head Coach will receive an email confirmation of this registration. Be sure he or she checks their spam and junk mail folders.
Submit
Should be Empty: