Lights On! - Competition Entry Form (Deadline: 7/12/17, 11:59PM PST)
***REQUIRED: YOU MUST HAVE A GLOVING.COM ACCOUNT PRIOR TO FILLING OUT THIS FORM***
Gloving.com Sign-Up: http://gloving.com/temp/public/register

(Note: Read the video submission details thoroughly to ensure your entry is eligible)

First Name *
Your answer
Last Name *
Your answer
Glover Name *
Your answer
Date of Birth: *
MM
/
DD
/
YYYY
Gender *
E-Mail Address *
Your answer
Phone Number *
Your answer
Country *
Your answer
City
Your answer
State
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