Name *

First Name

Last Name

Phone *

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Cell Phone

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Affirmation *

Yes, I affirm I am the person aged 18 and over and I am signing up for this contest. I have read the rules on the JJAM FM Contest page and I am eligilbe to enter.

Yes

Child's Name *

CHILD'S name for the ULTIMATE EASTER EGG CONTEST APRIL 2025

First Name

Last Name

PARENT'S Name *

First Name

Last Name

Phone *

(###)

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Cell-Phone

(###)

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Affirmation of Child's Parent: *

Yes, I affirm I am the parent of this Child, who is eligible to enter this contest and I give my permission for my Child to enter this contest..