Academic Bowl Registration form

Riverside African American Historical Society
ACADEMIC BOWL
2008 QUIZ-TEAM REGISTRATION FORM

COORDINATOR

First Name Last Name required field

School/Church/Other required field

Phone Fax

School/Church/Other Address

City Zip E-Mail required field

Home Phone required field

Home Address

COACH

First Name Last Name required field

School/Church/Other required field

Phone Fax

School/Church/Other Address

City Zip E-Mail required field

Home Phone required field

Home Address

CAPTAIN

First Name Last Name required field

Home Address

City Zip E-Mail required field

Phone Grade School required field

TEAM MEMBER NO. 2

First Name Last Name required field

Home Address

City Zip E-Mail required field

Phone Grade School required field

TEAM MEMBER NO. 3

First Name Last Name

Home Address

City Zip E-Mail

Phone Grade School

TEAM MEMBER NO. 4

First Name Last Name

Home Address

City zip E-Mail

Phone Grade School

ALTERNATE (will only compete in the case of an emergency)

First Name Last Name

Home Address

City Zip E-Mail

Phone Grade School


required field = Required

or mail to:
Riverside African American Historical Society
Alicia Lee, Academic Bowl Chair
Jalani Bakari, Academic Bowl Co-Chair
1611 Kingsport Drive, Riverside, CA 92506
951-789-0986