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Register for our contest by filling out the form below.

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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* Confirm Password: 
 
Double check to make sure your information is correct and then hit submit below. Thank you for your participation.
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Justin Moore at Hobart Arena

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