Registration for Battle of Bridges on March 2 or 3, 2018 at Putnam Museum
UPDATE (23Feb18 - 6:00 PM): Our Friday session is full with 40 teams. Please register for Saturday where we currently have plenty of openings.

One registration form is required to be completed and submitted for each team with a maximum 4 people on a team.

After registering on-line, you need to pay your registration fee and optional pizza by one of two methods:

1. Paying on-line by clicking on the link shown after you complete this registration form. The payment can be by PayPal or credit card which is a secure transaction. (Preferred method)

2. Mailing in a check to the QCESC (QCESC, PO Box 1166, Bettendorf, Iowa 52722-0020)

There is a maximum number of 40 teams for the Friday session and 40 for the Saturday Session with a limit of 8 teams from any one High School each day. Teams will be considered registered once we have received your on-line registration and receipt of your registration fee. A listing will be added to this page to show teams that have registered on-line. The deadline to register is Thursday, March 1, 2018 or when all 80 spots are filled. We would strongly recommend you register early to insure your team a spot.

To submit the form, you must scroll to the bottom of the page and click on "Submit" button. If you properly fill out and submit this on-line form, you should see a message that says "Thanks! Your response has been recorded" with an e-mail confirmation sent to you. If you don't see this, you need to update or add missing information which will be highlighted on the form in red color.

Email address *
Information on Person Registering - Team Contact
Note: You must fill in all of the mandatory fields such indicated by a * symbol at the end of the field name (example - First Name *) for the form to be saved and submitted.

First Name *
Your answer
Last Name *
Your answer
Phone Number (with area code) *
Format xxx-xxx-xxxx
Your answer
Team Information:
Team Category *
Based on oldest team member
City Where Team Lives *
Your answer
Name of School or Organization Team Associated With, If Any *
Put in None if Not Associated With Any School or Organization
Your answer
Team Name *
Critical! - Please confirm the team name before registering with the team and include so we can properly list your team for awards and your team picture.
Your answer
Total Number of People on Team *
Which day does your team want to participate? (Friday is "Sold Out") *
Choice one
Does your team need financial assistance with the $25 registration fee? *
For teams that need financial assistance to participate, please check the associated box when registering on-line and someone will follow-up with you.
Team Member 1:
First Name (Team Member 1) *
Your answer
Last Name (Team Member 1) *
Your answer
Grade (Team Member 1) *
Choose "None" if not student
Team Member 2 (if applicable):
First Name (Team Member 2)
Your answer
Last Name (Team Member 2)
Your answer
Grade (Team Member 2)
Choose "None" if not student
Team Member 3 (If applicable):
First Name (Team Member 3)
Your answer
Last Name (Team Member 3)
Your answer
Grade (Team Member 3)
Choose "None" if not student
Team Member 4 (if applicable):
First Name (Team Member 4)
Your answer
Last Name (Team Member 4)
Your answer
Grade (Team Member 4)
Choose "None" if not student
Comments or Questions
If you have any additional comments or questions, please add to this comment box.
Your answer
How Do You Plan to Pay for Registration and Optional Pizza If Ordered *
Check One
Required
For Teams Competing on Saturday, optional pizza/pop is available to pre-order below.
Please indicate how many pizzas and 2 liter containers of pop you would like to pre-order for delivered for lunch. The pizzas are 14" which should feed around 4 adults. The cost is $10 for one pizza and 2 liter pop with paper plates, napkins, and cups provided. The food is available for your team along with team supporters.

The total number of pizzas ordered shuld match the total number of 2 liter pops ordered.

Total # of Cheese Pizzas
Your answer
Total # of Pepperoni Pizzas
Your answer
Total # of Sausage Pizzas
Your answer
Total # of 2 Liter Pepsi
Your answer
Total # of 2 Liter Diet Pepsi
Your answer
Total # of 2 Liter Mountain Dew
Your answer
Total # of 2 Liter Sierra Mist
Your answer
Total Cost of Pizza/Pop
$10 x Total Number of Pizzas (each includes 2 Liter pop)
Your answer
A copy of your responses will be emailed to the address you provided.
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