E-Sports Questionnaire

Email Secondary Email

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Email address *

First name

Last name

Address 1

Address 2

City

State

ZIP Code

Cell Phone Number

Graduation Year

Mother's Name

Mother's Phone Number

Father's Name

Father's Phone Number

Date of Birth

Have you applied?

yes no

Do you have competitive gaming experience? *

Yes No

What Platforms and Games do you have interest in competing in? *

High School/College

School Address

School City

School State

GPA

* required field