First Name:
Last Name:
Address
City
State
Zip Code
Day phone:
Night phone:
Email:
Date Of Birth  mm/dd/yy
Players under 18 years of age:
You can be any age to win the weekly drawing. To be eligible to win, you will need to provide contact information for your parent or guardian below. If your name is selected to win the trip, we will contact your parent/guardian
Parent's/Guardian's First Name:
Parent's/Guardian's Last Name:
Parent's/Guardian's Day Phone:
Parent's/Guardian's Night Phone:
Parent's/Guardian's Email:
Comments:

Thank you for entering the contest to win
the HP Fan Trips’ Wizarding School Trip.