Parent Name (First and Last)
Address (Include Apt #)
Childs Name (First and Last)
Childs Age (Babies must be no older than 2 years old by March 13, 2016 to be eligible)
Credit Card Number (Visa, MC, Discover only)
3-Digit Security Code
Name as it appears on card
* Deadline for online submissions is Thursday, March 10, 2016 at 5pm. You may also register in person at the show. CONSENT TO HAVE MY CHILD PHOTOGRAPHED/VIDEOTAPED & PHOTOS DISSEMINATED WITHOUT COMPENSATION AT THE DELAND STRAWBERRY FEST. By submitting this form I agree to abide by all rules of the Deland Strawberry Fest Berry Cute Baby Contest. I hereby consent to having my child/ward photographed/videotaped while participating in any activity offered by the Deland Strawberry Fest and Buckler Promotions, Inc. In addition, I consent to the reproduction and use of any such photograph and videotapes by the Deland Strawberry Fest and Buckler Promotions, Inc for educational, public relations and promotional purposes and I waive any claim by myself, or anyone claiming under or through me, for compensation of any kind in exchange for photographs, videotapes and use. I also understand no refunds will be given. Your childs photo will be posted on our website giving you bragging rights that your child is the Berry Cutest!