Free Birthday Cake Nominations
Each month one person will receive a free birthday cake (birthday must be in the month they are nominated).
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Your Name
*
First Name
Last Name
Email
*
example@example.com
Name of Nominee
*
Just place same if you are nominating yourself.
Birthday of nominee
*
-
Month
-
Day
Year
Date
Contact for Nominee (phone or email)
*
Place contact of parent or guardian if under 18.
Is your nominee under 18?
*
Yes
No
Contact relation to nominee
*
Mom
Dad
Grandparent
Myself
Other
Please include a brief reason why you nominated this person for a free birthday cake...
*
Submit
Should be Empty: