REGISTER FOR THE VERIZON GRIDIRON CHALLENGE

Sign up and show off your team trivia skills for bragging rights and a chance to win weekly Pats prizes - even tickets to the Big Game in February. You can play online, or sign up for Pats Alerts on your mobile device and play on the go. When you sign up for Pats Alerts, we'll notify you when there are new questions, team updates, and exclusive offers from Verizon. So be sure to check the Pats Alerts box at the end of the form.

The Gridiron Challenge begins August 17 with new chances to win every Monday, Thursday and Saturday. So play and play often.

First Name:
Last Name:
Mobile Phone: - -
Home Phone: - -
E-mail:
Gender: Select Male Female
Birthday: Month 01 02 03 04 05 06 07 08 09 10 11 12 Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 1900
Address 1:
Address 2:
City:
State: Select Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip:
  Yes, sign me up for Pats Alerts so I can play the Gridiron Challenge, get team
updates and exclusive Verizon offers on my mobile device

  Yes, please send me emails so I can get updates from the Patriots
and exclusive offers from Verizon