Name:*
Address:*
Phone:
-
School Name:*
School E-mail (.edu only):*
School Year:*
Format:*

Where do you stream?

Twitch:
Facebook:
YouTube:
Other:
Other if Yes, what service?:
In what time zone will you be playing?:
Please select your game console: :

Games I Would Like to Play
(Select All That Apply)

NBA 2K21::
Madden NFL21:
Rocket League:
PGA 2K21 - HEA will cover the cost of the video game:
NASCAR Heat 5 - HEA will cover the cost of the video game :
User Name:
T-Shirt Size:*
If T-Shirt size is other, what size?:
Shorts Size:*
If shorts size other, what size?:
Shoes:*
Shoe Size:

I give permission for my school to confirm that I am a current student and in good standing.

Permission:*
Word Verification:

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