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Quiz Rally TEAM Registration Form 3.16.19 - 3.17.19
Welcome to the Lake Shore Region Pony Club's 18th annual Quiz Rally! All TEAMS and partial TEAMS (2-4 members) must fill out this form (one form per team OR partial team) Additionally, the "Club Worksheet" must be filled out by a club representative to list teams and calculate payment. All payments must be submitted utilizing a Club/Center check payable to Lake Shore Region and mailed to Julie Kreft, Rally Secretary at 6687 Ohio Road, Allenton, WI 53002.

**New this year** Non-member youth and adults may compete! Non-members will compete alongside youth members and Adults. This will not affect championship qualification for members in any way. Club/Center leadership should help non-members choose the appropriate certification level to compete at. Non-members, who are past members should compete under their last achieved certification level.

Entry fee: $35 per person

Team Club/Center/Region Affiliation *
First and Last Name of Person Completing TEAM form *
Your answer
Email Address of Person Completing TEAM form *
Your answer
TEAM Name *
Your answer
TEAM Captain First & Last Name *
Your answer
Please List First & Last Names of TEAM Members *
Your answer
TEAM is: *
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