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BBC Santa Contact: JBingle
DEADLINE: November 30, 2009 - 11:59 PM 

  Please fill in the names of children to be registered for BBC Santa gifts for 2009.

Registration Form
** Please note:  Do not use the "Enter" key to move your cursor to the next
line as it will submit the form before you're finished - use the tab key or
manually move your cursor to the next line.
 Parent's Name:
 Username: (on BBC)
 Address:
 City/Town:
 State/Province:
 Zip / Postal Code:
 E-mail Address:
 Phone Number:  
 
 Kids' Name(s): (First & Last)     ** Please note: Ages 0-12.
 1:   Age:
 2:   Age:
 3:   Age:
 4:   Age:
 5:   Age:
 Questions?   Comments?