6th Annual Miss Georgia Duck Derby

6th Annual Miss Georgia Duck Derby

Problems with this form? Contact Tammy Spires at tammytspires@gmail.com
6th Annual Miss Georgia Duck Derby

Enter for your chance to win! $5.00 per duck adoption!

1st Place: $500

2nd Place: $300

3rd Place: $150

Last Place: $50

The ducks will race on June 16th at the Columbus Iron Works Fountain. All proceeds will benefit the Miss Georgia Scholarship Competition, Inc.

We will send you an email with your duck numbers within 48 hours of notification of purchase.

You do NOT have to be present to win. Winner(s) will be notified by the Miss Georgia Scholarship Organization within 7 days of the race. Winner(s) will have 30 days to collect winnings. If not collected within 30 days, prizes will be forfeited.
Please choose one dropdown menu - either titleholders or belles - to "adopt" your ducks.

DO NOT select both a titleholder and a Belle - choose one or the other.
Please choose one name from the dropdown menu below:
Adopt your ducks from your favorite contestant in this drop down list.*
Or... Select the belle you are "adopting" a duck from (DO NOT choose a titleholder from the above list if you're adopting a duck from someone in this drop down list).
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com

Duck Adoption*

Ducks!$5.00

Ducks are $5.00 each.

Quantity

Total $0.00

Dollar Amount Sold
No Refunds*

By checking here, I acknowledge there are no refunds on these tickets.
Should be Empty: