Mr. New England Rubber 2019 Contestant Entry Form
Submit your completed entry form by Thursday, April 11th at noon and email an image of yourself in rubber gear to contest@newenglandrubbermen.com. Bring a photocopy of a government document confirming your age and current address to the interview session.

Please read the rules and regulations before applying: https://docs.google.com/document/d/15nijvp28hP6cKSFiM45MmspsX53qutmg4Q8Iip_Dfsk/edit?usp=sharing

Answers marked “§” will be kept confidential;

Email address *
Name to be used onstage: *
Your answer
Legal name, if different§:
Your answer
Street Address§:
Your answer
City, State, ZIP: *
Your answer
Phone§: *
Your answer
Website (if applicable):
Your answer
Age: *
Your answer
Date of Birth§: (please bring ID) *
Your answer
Physical Limitations Requiring Assistance (disabilities, etc.)§:
Your answer
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