Around the World in 80 Days

Trivia Night Registration Form

Trivia Night – November 10, 2007

Team Captain:_____________________________________

Captain’s Address:__________________________________

Captain’s Phone # :_____________________

Other team members:

2.)

3.)

4.)

5.)

6.)

7.)

8.)

Alternates

1.

2.

Please mail this form to Cindy Tapscott

c/o Taylorville High School

815 Springfield Road

Taylorville, IL 62568

You may also sign up at the door the night of the event.

Please contact Cindy Tapscott at the high school at 824-2268 (T.H.S.) with any questions. We appreciate your participation in this event and your support of the Taylorville High School Gifted Program.