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    Winner will be notified by email.
    General Information
    * First Name: 
    * Last Name: 
    * Birthday: 
    * Gender: 
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    * Public Name: 
      Must be 4-10 characters
    * Email: 
      Only one registration is allowed per email address.
    * Confirm Email: 
    * Phone: 
      Will only be used to contact winners.
    * County: 

    Entrants must reside in the following counties to be eligible to win:  Randolph, Union and Wayne County in Indiana and Auglaize, Butler, Champaign, Clark, Clinton, Darke, Fayette, Greene, Highland, Logan, Mercer, Miami, Montgomery, Preble, Shelby, Warren and Wayne Counties in Ohio.

    * State: 

    * Postal Code: 
    Password Information
    Passwords must be 8 to 20 characters.
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    Justin Moore at Hobart Arena

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