Contest Entry Form Grade 3–6
Instructions: Please complete the information below and submit this form with
the Classroom Scoreboard (included in the pocket of the Teacher
Guide) showing that your class successfully completed the Challenge.
Prizes Your Class Could Win:
• One class will win the Grand Prize – a visit from an • A $2,500 grant from NFL Charities and the American
NFL player and an invitation to attend Kids’ Day at NFL Heart Association. The grant must be used to purchase
Experience. One eligible classroom within a 60-mile new athletic equipment or allocated toward in-school
radius of Cowboys Stadium will be named the winner. or after-school health and fitness programming. Three
classrooms will be awarded grants.
• A chance to attend Kids’ Day at NFL Experience. A
selection of eligible classrooms in the North Texas area
will be named winners.
OFFICIAL ENTRY FORM (must be included with each submission) • For questions, please e-mail: NFLplay60@nfl.com
All entries must be postmarked by December 17, 2010
Teacher Name: _ ____________________________________________ _ Teacher Signature: _____________________________________________________
Phone: _____________________________________________________ Email: ________________________________________________________________
School Name _______________________________________________ School County: _______________________________________________________
School Address: _ ___________________________________________ City: _________________________________ State: ______ ZIP: _ _____________
No. of students in classroom: _____ Grade: ______ Does your class have regular P.E.? __________If yes, how often? _ __________________________
1) Supporting materials: RULES: NO PURCHASE NECESSARY. See official rules available at
Classroom Scoreboard (included in the pocket of the www.americanheart.org/superbowlchallenge. Open to select teachers
Teacher Guide) of students in the third, fourth, fifth and sixth grade during the
2010 – 2011 school year, at schools in the following cities: Irving,
2) Mail, fax or scan and email completed contest Dallas, Arlington and Ft. Worth at time of entry. One entry per classroom.
entry form and Classroom Scoreboard to: Only official entry forms will be accepted. Void where prohibited
NFL PLAY 60 Challenge or restricted by law.
Attn: Josephine Martínez Deadline for entries: 11:59 p.m. December 17, 2010.
280 Park Avenue, 17W
New York, NY 10017 SELECTION OF WINNERS: Judges will randomly select from various
Fax: 212-450-2440 pools of qualified entries from each eligible county. A qualified
Email: NFLPlay60@nfl.com entry must include:
1. Contest entry form
3) Please e-mail any questions to: NFLPlay60@nfl.com 2. Completed Classroom Scoreboard