Family Feud Game Application

Each Team must have 5 players, please prepare 2 Backup's. Please try and dress similar, same colors have a family shirt or church Shirt on to represent!

Submitter/Main Contact's First Name

Submitter/Main Contact's Last Name

Contact Email

Contact Cell Phone

2 Contact Cell contact

In Case of Emergency, what is a second contact name and number?

Are you registering for yourself or a team?

Indivdual

Team

Are you registering for yourself or a team?

Church

Family

Indivdual from Local Non-Profit or Business (10 contestants randomly picked, to play against each other on the the day of event)

Team Name (if registering a Team) if individual, please put n/a

Tell us a little bit about you/your team

Player #1 First & Last Name, Age

Player #2, First & Last Name, Age

Player #3, First & Last Name, Age

Player #4, First & Last Name, Age

Player #5, First & Last Name, Age

Upload a picture or Video of you/your/ famiily/Church anad why we should pick you as a Team/contestant! If you experience issues with uploading, email your video to info@stocktonjuneteenth.org with the subject line, JUNETEENTH FAMILY FEUD Application!

I understand that SJJF or it's partners are not liable for any injuries or accidents. Players fully understand they are participating at their own risk. Event will be video taped and/or photographed and that my, and my teams images may be used for future promotion of the game.

I understand my team must be a the Preliminary Games on June 15th and the Finals on June 20th to recieve or win the grand prize. I also understand my team must have 5 contestant to particpate and that if I don't have 5 contestants ready on time to particpate, my team will be disqualified.

Thanks for registering for the Juneteenth Family Feud We will be in touch with you soon my email.

For questions and/or concerns, please contact us directly at (209)457-7553

Join Stockton Juneteenth for some friendly competition and a chance to win the grand prize of $500! Must be able to come both the Prelimary Games on June 15th at 6pm AND Juneteenth Celebration on June 20th at the Fairgrounds from 2pm-5pm. Also, a bonus round of Family Feud, Community Organization Edition will oocur, the day of, allowing indivdual Contestants from attending local Non-Profit and Businesses to play and a chance to win! Sign up today!