2023 Quiz Rally $60 per competitor                      Closing Date: April 5, 2023
April 22, 2023  Registration begins at 8 AM, Briefing is at 8:45
Haverhill High School, 137 Monument Street, Haverhill, MA 01830
Contact us at (617) 872-2813 or amanda.mrpc@gmail.com
Email or mail: permission slips for Jr/Sr Team formation
& chaperone duties form  
mail entry fees to: A.Ellis, 39 Birch Meadow Road, Merrimac MA 01860

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Email *
Phases
We will compete in WRITTEN, CLASSROOM, STATIONS, MEGAROOM
Team Information
Competitors can be placed on teams UP a DIVISION as long as at least one member of the team meets the minimum age in that division. To form teams of mixed Junior/Senior age, we must have written permission from any junior aged competitor and their parent or legal guardian using Appendix IV, page 31 in the 2022  Quiz Rulebook. Ds can not be placed in C divisions or vice versa. ONLY NOVICE D team members have the option of CONFERRING with teammates on individual classroom questions.  
Club/Center  *
Team Division *
Volunteers
WE REQUIRE A MINIMUM OF TWO VOLUNTEERS FOR FULL TEAMS AND ONE VOLUNTEER FOR SHORT TEAMS
 *IN ADDITION TO ONE CHAPERONE PER TEAM
Chaperone Name
Chaperone Cell Phone Number
Volunteer #1 Name
Volunteer #1 Cell Phone Number
Volunteer #1 Position Preference
Clear selection
Volunteer #2 Name
Volunteer #2 Cell Phone Number
Volunteer #2 Position Preference
Clear selection
Competitors
TEAMS IN D LEVEL DIVISIONS MAY CONSIST OF 3 OR 4 MEMBERS.  WE WILL ALWAYS DEFER TO KEEPING PAIRS TOGETHER WHEN POSSIBLE IN SCRAMBLING
Competitor #1 Team Captain *
Competitor #1 DOB *
MM
/
DD
/
YYYY
Competitor #1 Certification Level *
Competitor #2 Name
Competitor #2 DOB
MM
/
DD
/
YYYY
Competitor #2 Certification Level
Competitor #3 Name
Competitor #3 DOB
MM
/
DD
/
YYYY
Competitor #3 Certification Level
Competitor #4 Name
Competitor #4 DOB
MM
/
DD
/
YYYY
Competitor #4 Certification Level
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