Charlie and the Chocolate Factory Ticket Giveaway Giveaways Ages of Children in Family:* 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: Mother works:Full TimePart TimeAt HomeFather works:Full TimePart TimeAt HomeAnnual Family Income:0-19,00020-39,00040-59,00060-79,00080-99,000100,000+