2017 QCESC Trebuchet Egg Throw Contest Team Registration Form
On-line registration for Trebuchet Egg Throw Contest being held on April 22, 2016 at Bettendorf High School football practice field. The tentative schedule is 10:00 AM - 4:00 PM. If you have any scheduling constraints, please note them in the comments field below.

Note: You must fill out all of the mandatory fields as indicated by a * symbol at the end of the field name (example Your Full Name *) for the form to be saved and submitted.

Email address
Information on Person Registering
First Name
Your answer
Last Name
Your answer
E-mail Address
Your answer
Phone Number (XXX-XXX-XXXX)
Your answer
Your Involvement
Comments or Notes
Please indicate if you have any constraints or preferred times for your team to participate.
Your answer
Information on Team
School Name
Your answer
#
Students
Team Name
Please select the name the teams wants to be known by and will pre-printed for a team picture.
Your answer
Team Member 1 (First Name then Last Name - i.e. John Smith)
Your answer
Team Member 2 (First Name then Last Name - i.e. John Smith)
Your answer
Team Member 3 (First Name then Last Name - i.e. John Smith)
Your answer
Team Member 4 (First Name then Last Name - i.e. John Smith)
Your answer
Team Member 5 (First Name then Last Name - i.e. John Smith)
Your answer
Team Member 6 (First Name then Last Name - i.e. John Smith)
Your answer
Team Member 7 (First Name then Last Name - i.e. John Smith)
Your answer
Team Member 8 (First Name then Last Name - i.e. John Smith)
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
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