List your child's name as you want it to appear in our promotional material.
Your answer
Child's Birthdate *
Participants must be at least five years old on December 1, 2022, and must not turn
13 before May 28, 2023.
MM
/
DD
/
YYYY
Child's County of Residence *
Your answer
School Child Attends *
Your answer
Child's Dream Job/Career Ambition: *
Your answer
Parent's or Guardian's Full Name: *
Your answer
Parent's or Guardian's Phone Number: *
Your answer
By submitting this form you acknowledge each of the following items: *
Required
Please acknowledge each of these terms regarding the OPTIONAL Princess Program. (You must complete this section even if your child will not be participating in the Princess Drawing.) *
Required
Please select one of the following: *
A copy of your responses will be emailed to the address you provided.