Uncle Leo’s Farm Fact Frenzy Trivia Challenge 
Registration Form
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TEAM NAME *

Choose a clever team name (that is family friendly and appropriate).

TEAM ORGANIZATION (if applicable): *
TEAM CAPTAIN's NAME: *
Team Member #1.  Who is the most reliable? This person will receive all communications.
Team Captain's email: *
Team Captain's mobile phone number *
Name Team Member #2:  *
Name Team Member #3:  *
Name Team Member #4:  *
Team Captain verifies that all team members: *
Required
Premium of $500.00 for 1st place will be awarded: *
Required
Premium check should be made out to:  *
Mailing address of the person/organization given above:  *
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