Quiz Rally 2018 Name Theme: TACO TUESDAY!!! (Mexican foods)
ENTRY FEE: $55 per competitor DUE: March 1, 2018
Mail checks to: Amanda Ellis, 66 Merrimac Road, Haverhill, MA 01830

Event Timing: Saturday, March 24, 2018, 8 AM
Event Address: 137 Monument Street, Haverhill, MA 01830
Contact us at (617) 872-2813 or amanda.mrpc@gmail.com

Email address *
Club and Team Name *
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Team Division *all ages are as of 01/01/2018 *
Team Chaperone Name, email and phone number for emergency *
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Competitor #1 (Team Captain) Name *
Your answer
Competitor #1 DOB *
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Competitor #1 HM Certification Level *
Competitor #1 Interested in Qualifying for Championships *
Competitor #2 Name
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Competitor #2 DOB
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DD
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Competitor #2 HM Certification Level
Competitor #2 Interested in Qualifying for Championships
Competitor #3 Name
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Competitor #3 DOB
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DD
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Competitor #3 HM Certification Level
Competitor #3 Interested in Qualifying for Championships
Competitor #4 Name
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Competitor #4 DOB
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Competitor #4 HM Certification Level
Competitor #4 Interested in Qualifying for Championships
Name, email and phone of DC/CA/Team Contact *
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