Back to School Jamboree - WCCG 104.5 FM

CONTEST RULES

Must be 18 years or older to enter contest
Tickets must be picked up between the hours of 8:30am – 4:30pm
(failure to pick up tickets prior to event will forfeit your winnings.)
For additional questions please call 910-484-4932 or email [email protected]

Back 2 School Jamboree - Registration

Parent Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone Number *

Email *

Child #1 *

First

Last

Your child must be present in order to claim a free book bag and school supplies.

Child #1 Age *

Additional Child #2

First

Last

Your child must be present in order to claim a free book bag and school supplies.

Child #2 Age

Additional Child #3

First

Last

Your child must be present in order to claim a free book bag and school supplies.

Child #3 Age

Additional Child #4

First

Last

Your child must be present in order to claim a free book bag and school supplies.

Child #4 Age

Website