SIGN UP HERE… Team Captain Name * First Name Last Name Email * Phone * Team Captains Number Country (###) ### #### Venmo Username This is for us to verify your payment of $40 has been submitted to: @actuallyondirt Team Details Team Name * Team Member 1 Activision Name * Please include the full Activision name including the # and following numbers K/D * Platform * Please select which platform this team member will be using Playstation Xbox PC Twitch / Streaming Platform URL If you are using a PC you are required to either stream the full game, or record and submit your gameplay for verification http:// Team Member 2 Activision Name * Please include the full Activision name including the # and following numbers K/D * Platform * Select which platform you will be using Playstation Xbox PC Twitch / Streaming Platform URL If you are using a PC you must stream your full game or record and submit full gameplay for review http:// Team Member 3 Activision Name * Please include the full Activision name including the # and following numbers K/D * Platform * Select which platform you will be using Playstation Xbox PC Twitch / Streaming Platform URL http:// Team Member 4 Activision Name * Please include the full Activision name including the # and following numbers K/D * Platform * Select which platform you will be using Playstation Xbox PC Twitch / Streaming Platform URL http:// * I have read over and agree to the the rules and regulations for this tournament. I testify that all of the above information is accurate and that misrepresentation or breaking of tournament rules will lead to immediate disqualification Thank you!
