Fresh Faces Contest Entry

Please complete and submit the form below to complete your entry.

Child's Name:*
First Last
Child's Birthday:*
MM slash DD slash YYYY
Child's Age:*
Parent's Name:*
First Last
Address:*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone:*
Email:*
Children Attend:
- Public School
- Private School
- Home School
# of adults in household:
# of children in household:
Mother works:
Father works:
Annual Family Income:
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Upload Image*
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