Leaderboard Form

Submit your information below to be included in Pop-A-Shot Leaderboard! Must be Game Mode 1 only.

Leaderboard Score Submission

Name *

First

Last

Email *

Score *

Game Mode 1 Only. All scores will be verified by video upload before being placed on leaderboard.

Age

Submit your age to be included in the Youth Division Leaderboard (must be 10 or under).

Motto

Your Pop-A-Shot Motto. Optional but encouraged. Have fun with it 🙂

Permission

* Uncheck this box if you do not give Pop-A-Shot permission to use your video on social media and PopAShot.net

File Upload *

Click or drag a file to this area to upload.

Record yourself playing Game Mode 1 using any Pop-A-Shot game model (be sure to have the score within view) and upload your video file here!

Mailing Address (if interested in receiving your badge)

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country