The Eastside Macaroni Kid Birthday Club
Join our birthday club and your child will have a chance to win a prize from one of our awesome sponsors during their birthday month. All celebrants will also get a birthday shout out!
Parent/Guardian Info
*
First Name
Last Name
E-mail
*
City of Residence
*
Child #1 Name
*
Child #1 DOB
*
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Month
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Day
Year
Date Picker Icon
Child #2 Name
Child #2 DOB
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Month
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Day
Year
Date Picker Icon
Child #3 Name
Child #3 DOB
/
Month
/
Day
Year
Date Picker Icon
Child #4 Name
Child #4 DOB
/
Month
/
Day
Year
Date Picker Icon
Child #5 Name
Child #5 DOB
/
Month
/
Day
Year
Date Picker Icon
Child #6 Name
Child #6 DOB
/
Month
/
Day
Year
Date Picker Icon
Submit
Should be Empty: