ESPN Winner

Please complete the below form by the deadline provided in the email to remain eligible for the prize. The information provided will only be used to confirm your eligibility and, if confirmed a winner, fulfill your prize. It will not be shared for marketing purposes.

See Official Rules.

First Name

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Last Name

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Email Address

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Address

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Address 2 (Optional)

Please provide an address 2.

City

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State/Province

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Zip/Postal Code

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Phone

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I warrant and represent that I:
I am a legal resident of the 50 United States or Washington, D.C. (excluding Puerto Rico, other United States territories, and foreign territories) or Canada (excluding Quebec), who was 18 or older at time of entry and am a registered member of ESPN.com. Employees and agents of Disney Streaming Services LLC (“Sponsor”), Probability LLC (“Administrator”), and all of their respective parents, subsidiaries, affiliates and advertising and promotion agencies, and their immediate families/household members (parents, step-parents, children, step-children, siblings or spouses including those who share the same residence at least three (3) months a year whether or not related) of such individuals are not eligible to enter or win. In addition, persons who are currently involved in any capacity with any U.S. Collegiate Football team or collegiate athletic program (including but not limited to U.S. College Football players, coaches and their staffs) are not eligible to participate in the Promotion or win prize(s). By participating, participants agree to be bound by these Official Rules and the decisions of Sponsor, which are binding and final on matters relating to this Promotion. Promotion is void in all U.S. territories, (e.g., Puerto Rico and Guam), Quebec and where prohibited or restricted by law and subject to all applicable federal, state, local and municipal laws and regulations.

Please confirm the eligibility requirements.

Thank you for confirming your information! Please upload your completed Affidavit, W-9 Tax Form and if applicable, your Guest Release.

Affidavit of Eligibility

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W-9 Tax Form

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Guest Release (if applicable)

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Sponsor reserves the right to disqualify any entrant or winner who does not submit the requested information by the deadline provided in the email message or is found to have entered the Promotion or claimed a prize under fraudulent means. Sponsor shall have no liability to any disqualified entrant or winner.