Survivor Pool Participation Form
Register to join the Survivor Pool, make your weekly picks, and agree to the competition rules.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Select the Survivor Pool you are joining
*
Please Select
Main Pool
Second Chance Pool
Office Pool
Other
Your Team Pick for This Week
*
Please Select
Team A
Team B
Team C
Team D
Other
Have you participated in a Survivor Pool before?
*
Yes
No
Tiebreaker: Predict the total score for the featured game this week
*
Emergency Contact Name
*
Emergency Contact Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
I confirm that I am at least 18 years old and eligible to participate.
*
Yes, I confirm
Submit Entry
Should be Empty: