LET’S GET STARTED

NAME *

First

Last

I LIVE IN (TOWN/CITY) *

MY DAY JOB IS *

MY FAVORITE BAND IS *

MY SECRET TALENT AS A TEENAGER WAS... *

MY CELEBRITY "HALL PASS" IS... *

IN THE SPACE BELOW WRITE THE WORST NICKNAME YOU EVER HAD AND WHY

PICK YOUR MOST FAVORITE CELEBRITY YOU WANT INCLUDED IN TONIGHTS SHOW! (THE 30 TO 40 TOP PICKS WILL BE USED TONIGHT!)) *

• Puss In Boots
• Adam Sandler
• Al Pacino
• Sam Elliott
• Arnold Schwarzenegger
• Morty
• Alan Rickman
• Bill Hader
• Dan Levy
• Bill Murray
• Benedict Cumberbatch
• Dwayne Johnson
• Christopher Walken
• Deadpool
• Christopher Lloyd
• Barack Obama
• Drake
• Dr. Phil
• Eugene Levy
• Bill Clinton
• Elmo
• Family Guy
• Fozzy
• Frank Sinatra
• Gandalf the Grey
• Gary Busey
• Gerard Butler
• Hank Hill
• Harrison Ford
• Hiccup
• Homer Simpson
• Jack Nicholson
• James Earl Jones
• Jason Bateman
• Jason Statham
• Jeff Bridges
• Jeff Goldblum
• Jerry Seinfeld
• Jessie The Body Ventura
• Jim Carrey
• Johnny Carson
• Katt Williams
• Keanu Reeves
• Liam Neeson
• Mark Wahlberg
• Jon Hamm
• Jon Lovitz
• Matthew McConoughy
• Peter Griffin
• Rick Sanchez
• Ricky Gervais
• Robert Downey Jr
• Robin Williams
• Stewie
• Kermit the Frog
• Thor
• Larry the Cable Guy
• Lawrence Fishburn
• LEGO Batman
• Macho Man Randy Savage
• Ned Flanders
• Miss Piggy
• Moe (Simpsons)
• Morgan Freeman
• Norm MacDonald
• Patrick Stewart
• Patrick Warburton
• Peter Dinklage
• Phil Hartman
• Quagmire
• Quentin Tarrentino
• Ray Charles
• Rick Moranis
• Rob Lowe
• Rod Serling
• Ron Swanson
• Ronald Reagan
• Ryan Reynolds
• Sam Elliot
• Sammy Davis Jr
• Shaggy
• Scooby
• Sean Connery
• Sebastian Maniscalco
• Seth Rogen
• Shrek
• Donkey (Shrek)
• Slyvester Stallone
• Steve Martin
• Sylvester the Cat
• The Cast of Family Guy
• The Dude (Jeff Bridges)
• The Rock
• Tj Miller
• Tuffnut
• Vin Diesel
• Vince Vaughn
• Willam Defoe
• William Shatner
• Yoda
• Steven Wright

GIVE US THE WORST NAME FOR A NEW RESTAURANT? EXAMPLE RED IMITATION LOBSTER *

GIVE US THE NAME OF THE NEXT SUMMER BLOCKBUSTER STARRING... *Adam SandlerAdam SandlerAlan RickmanArnold SchwarzeneggerBarack ObamaBenedict CumberbatchBill ClintonBill HaderBill MurrayChristopher LloydChristopher WalkenDan LevyDeadpoolDr. PhilDrakeDwayne JohnsonElmoEugene LevyFamily GuyFozzyFrank SinatraGandalf the GreyGary BuseyGerard ButlerHank HillHarrison FordHomer SimpsonJack NicholsonJames Earl JonesJason BatemanJason StathamJeff BridgesJeff GoldblumJerry SeinfeldJessie The Body VenturaJim CarreyJohnny CarsonJon HammJon LovitzKatt WilliamsKeanu ReevesKermit the FrogLarry the Cable GuyLawrence FishburnLEGO BatmanLiam NeesonMacho Man Randy SavageMark WahlbergMatthew McConoughyMiss PiggyMoe (Simpsons)Morgan FreemanNed FlandersNorm MacDonaldPatrick StewartPatrick WarburtonPeter DinklagePeter GriffinPhil HartmanQuagmireQuentin TarrentinoRay CharlesRick MoranisRick SanchezRicky GervaisRobert Downey JrRobin WilliamsRob LoweRod SerlingRon SwansonRonald ReaganRyan ReynoldsSam ElliotSammy Davis JrScooby/ShaggySean ConnerySebastian ManiscalcoSeth RogenShrek & DonkeySly StalloneSteve MartinStewieSylvester StalloneSylvester the CatThe Cast of Family GuyThe Dude (Jeff Bridges)The RockThorTj MillerTuffnutVin DieselVince VaughnWillam DefoeWilliam ShatnerYoda

AND *Al PacinoAl PacinoAlan RickmanArnold SchwarzeneggerBarack ObamaBenedict CumberbatchBill ClintonBill HaderBill MurrayChristopher LloydChristopher WalkenDan LevyDeadpoolDr. PhilDrakeDwayne JohnsonElmoEugene LevyFamily GuyFozzyFrank SinatraGandalf the GreyGary BuseyGerard ButlerHank HillHarrison FordHomer SimpsonJack NicholsonJames Earl JonesJason BatemanJason StathamJeff BridgesJeff GoldblumJerry SeinfeldJessie The Body VenturaJim CarreyJohnny CarsonJon HammJon LovitzKatt WilliamsKeanu ReevesKermit the FrogLarry the Cable GuyLawrence FishburnLEGO BatmanLiam NeesonMacho Man Randy SavageMark WahlbergMatthew McConoughyMiss PiggyMoe (Simpsons)Morgan FreemanNed FlandersNorm MacDonaldPatrick StewartPatrick WarburtonPeter DinklagePeter GriffinPhil HartmanQuagmireQuentin TarrentinoRay CharlesRick MoranisRick SanchezRicky GervaisRobert Downey JrRobin WilliamsRob LoweRod SerlingRon SwansonRonald ReaganRyan ReynoldsSam ElliotSammy Davis JrScooby/ShaggySean ConnerySebastian ManiscalcoSeth RogenShrek & DonkeySly StalloneSteve MartinStewieSylvester StalloneSylvester the CatThe Cast of Family GuyThe Dude (Jeff Bridges)The RockThorTj MillerTuffnutVin DieselVince VaughnWillam DefoeWilliam ShatnerYoda

AGE *20ish30ish40ish50ish60ish70ish Plus

GENDER *FemaleMalePrefer Not To Answer

JOIN TEAM RUPPLE FOR A SPECIAL GIFT TONIGHT! ENTER YOUR EMAIL

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