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Mr. New England Rubber 2019 Contestant Entry Form
Submit your completed entry form by Thursday, April 11th at noon and email an image of yourself in rubber gear to
contest@newenglandrubbermen.com
. Bring a photocopy of a government document confirming your age and current address to the interview session.
Please read the rules and regulations before applying:
https://docs.google.com/document/d/15nijvp28hP6cKSFiM45MmspsX53qutmg4Q8Iip_Dfsk/edit?usp=sharing
Answers marked “§” will be kept confidential;
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Email
*
Your email
Name to be used onstage:
*
Your answer
Legal name, if different§:
Your answer
Street Address§:
Your answer
City, State, ZIP:
*
Your answer
Phone§:
*
Your answer
Website (if applicable):
Your answer
Age:
*
Your answer
Date of Birth§: (please bring ID)
*
Your answer
Physical Limitations Requiring Assistance (disabilities, etc.)§:
Your answer
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