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Guardian's First name

Guardian's Last name

Guardian Phone

Address

Child's Birthday

Month

Day

Year

Guardian Email

What would winning this opportunity mean for you and your family? (Feel free to share anything about your current situation and why a day of fun would make a difference right now.) This question is required!!!

Upload Link (Photo, Video, or Other File)

Do you give consent for Amanda to take a photo or video with the child/winner for use on The Golden Ticket social media and to share with event partners?

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No

Do you agree with the Terms and Conditions?

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