Top Rated by Kids Competition Entry Form

Question Title

* 1. Entrant Details

Child's Name [As per Unabridged Birth Certificate]

Surname [As per Unabridged Birth Certificate]

Date of birth [As per Unabridged Birth Certificate]

Gender

Province

NB! Please note that the above information will be used for all correspondence regarding this entry. One entry per child. Lucky entrants to cover their own transport / accommodation costs.

Question Title

* 2. Parent/Guardian Details

Relationship to the child [Parent/Legal Guardian]

Name

Surname

Cell No:

Alternative contact No:

Email Address