Application for Jr. High Camp
Complete this form for your students.  Please note that payments should be received prior to camp. Be sure to note on the check who is being covered so we can properly credit payments for participants.  Make checks payable to AGQBA. $25 per student (1 t-shirt per student included) and $15 per extra t-shirt (for coaches, parents, additional students, etc).

Each school must provide 1 Coach or adult per 5 students.

You must complete this form for each camp you are attending.  (If you are attending more than one camp)

Please note: You will be responsible for all students you register for camp. You may transfer that registration to another student, but if another student can't be found to replace the original registrant, your school will still be charged for that slot.

Minimum registrant threshold: To hold a camp, we need at least 60 participants registered by the registration deadline. If a camp doesn't meet that threshold, it will be cancelled and registered participants will be offered the opportunity to attend another camp. If they are not able to attend, a refund will be issued if payment has already been received.

Registration -- Deadlines:
Arkadelphia 11/4/23 -- deadline to register 10/27/23
UACCB, Batesville  11/4/23 -- deadline to register 10/27/23
Russellville Junior High, Russellville  12/9/23 -- deadline to register 12/1/23

Please make all checks PAYABLE to AGQBA Quiz Bowl!
Please mail to: 
Attn: Nita Wimberly at: 
White Hall Middle School
8106 Dollarway Rd
White Hall, AR 

For further questions, please email Nita Wimberly at wimberlyn@whitehallsd.org

Receipt of this gForm is your invoice. 
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Email *
Camp you are attending. *
Required
Coach's Name *
School *
Coach's Cell Number *
Number of Coaches attending?* *
One (1) coach or adult is required per every five (5) students. Coaches are free to attend. T-shirts are $15 per shirt.
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