——————————————————-> Only add following info if this is the first entry submitted.

ROUND SUBMITTED

Lets Get Physical

Dr, Dr, Gimme the News

Shield Agents

Eat, Drink, Be Merry

HAND

Cards

Please write hand details (e.g. If you clicked high card, enter highest card; if you entered 4 of a kind, enter card # "ACES.")

Name

First Name

Last Name

Phone

(###)

###

####

Zip Code

Birthdate

YYYY