Contest Entry Form

*How many times did you spot Freddy in Once Upon a Blue Moon?
*If you win, which Original Freddy chair or rocker you would like to receive?	Little Chair Little Rocker Big Chair Big Rocker
*Contestant Name:
*Address:
*City:
State:	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
*Zip:
Country:
*Phone:
*Email Address:
Contestant Age:
Gender:	Boy Girl
*Parent or Guardian's Full Name:
	If you are not a winner, would you like to be notified (by email) the contest winners after each drawing?
Contest Rules and Regulations
*	By checking here, I am certifying that I am this contestants parent and/or legal guardian, I have read the contest rules and regulations, and that I have given my permission for this contestant to be entered in the Spot Freddy contest.
	* denotes required field