Birthday Club 2021
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Child 1
First Name
Last Name
Birthdate
-
Month
-
Day
Year
Date
Child 2
First Name
Last Name
Birthdate
-
Month
-
Day
Year
Date
Child 3
First Name
Last Name
Birthdate
-
Month
-
Day
Year
Date
Child 4
First Name
Last Name
Birthdate
-
Month
-
Day
Year
Date
By registering your children for the birthday club you are agreeing to be a newsletter subscriber with the email listed above. Your child will receive a birthday card and treat during their birthday month. Each child will be entered to win the Birthday Grand Prize the month of their birthday. Prize will be announced at the beginning of each month. Addresses, kids names, and birthdays will NOT be used for any other purposes than this Birthday club. This information will not be shared with other parties or sponsors. Children's FIRST names may be published on website and social channels but no last names will be included.
*
I agree to terms and condition with my entry into the birthday club
Submit
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