Prince & Princess Contest Registration Form

Prince & Princess Contest

2024 Christmas by the Lake
Christmas by the Lake will be held December 7, 2024

Entries are limited to 10 children, 3 to 5 years of age, from Clear Lake or Ventura. The Prince and the Princess will be randomly drawn from the contestants. The drawing will be held on Christmas by the Lake at the Clear Lake Bank & Trust Company in the Community Room. A confirmation / instruction letter will be emailed out after the Friday, November 8th deadline.

Photos will be published in the Clear Lake Mirror Reporter the week prior to Christmas by the Lake.
Prince & Princess Information
Child's Name*

First NameLast Name
Son or Daughter of:*
Birth Date*

MonthDayYear
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Number*
E-mail*
example@example.com
Upload Photo of your Prince or Princess for publication.*

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There is a $10 Sponsorship fee for each entry. Please select payment preference:*

Mail Check/Cash to Clear Lake Chamber 205 Main Ave Clear Lake, IA 50428Drop off payment to Clear Lake Chamber 205 Main Ave Clear Lake IA 50428Call with credit card payment 641-357-2159Venmo @clearlakeareachamber

Fees*

Sponsorship Fees

$10.00 Quantity

Total

$0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Prince & Princess Contest