2021 PBE Registration

2021 North HBA PBE Registration
Please fill out and submit the form below for each team that will participate (if your club has multiple teams, you will need to submit a separate form for each team).
NEW: We are also asking each club to provide us with the name and contact information of a monitor. This person must attend training (via zoom), be tech savvy, and be willing to travel to another location if needed.
**Make sure to click on "submit" at the end of the form to complete your registration.**
Church Name*
Club Name*
Team Designation*
If you only have 1 team, enter "Team A" in this field. If your club is entering multiple teams, enter how you want the teams to be named (for example, "Team A", "Team B", or a name of your choice, like "Team Yosemite").
Director's Name*
First NameLast Name
Director's Email*
example@example.com
How will the team meet?*
Virtual - team members will be at their individual home (laptop/desktop preferred)Physical- team members will meet at one location (CDC guidelines and church approval required)Hybrid- some team members will meet at one location and others will be virtual (CDC guidelines and church approval required)
Note: If you do not have seven team members, put "none" in the fields that are not needed.
Participant 1*
First NameLast Name
Participant 2*
First NameLast Name
Participant 3*
First NameLast Name
Participant 4*
First NameLast Name
Participant 5*
First NameLast Name
Participant 6*
First NameLast Name
Alternate*
First NameLast Name
Monitor Name (must attend training, willing to drive to a different location and be tech savvy)*
First NameLast Name
Monitor's Phone Number (will be added to a WhatsApp group to communicate with HBA during event)*
Area CodePhone Number
Monitor's Email*
example@example.com
Should be Empty:

2021 North HBA PBE Registration