Challenge REGISTRATION
A NEW Registration form must be submitted before EACH College Football and Basketball season begins to create your USERNAME and provide necessary information so I can mail your CASH PRIZE(S). You will receive your PASSWORD within 24 hours. Please use it IMMEDIATELY to log in and access the first Pick Sheet. Let me know if you are successful. :-)
FIRST NAME *
Enter your real FIRST name.
Your answer
LAST NAME *
Enter your real LAST name.
Your answer
HANDLE NAME(S) *
Enter the Handle Name(s) you would like to use. A $30 registration fee must be paid for each Handle Name you play.
Your answer
MAILING ADDRESS *
Enter the COMPLETE address where your prize should be mailed.
Your answer
REGISTRATION FEE *
Indicate how you will submit your $30 registration fee to: Kevin Jeske-Polyak | 445 W. Blount Ave. No. 216 | Knoxville, TN 37920.
BEST EMAIL *
Enter the best Email Address to receive Challenge notifications.
Your answer
BEST PHONE *
Enter the best telephone number to reach you if necessary.
Your answer
REFERRAL
If you are new to the Challenge, who referred you? If you have referred someone else, please let me know their name(s).
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.