Picture your baby on the cover!

1. Please provide your contact information. Required Question

= required question

First Name Required Question

Last Name

City

Province

Postal Code

Country

Email Address Required Question

Verify Email Address Required Question

Phone Number Required Question

Child(ren)'s First Name(s) Required Question

Child(ren)'s Date of Birth (mm/dd/yyyy) Required Question

2. Sending us a photograph of your baby/child.
How are you going to send us a photograph of your baby or child? Required Question

	I will drop off a photograph with my 2 non-perishable food items or an unused toy or a $10.00 donation to one of the listed locations. (check to view locations)
	I will upload a recent photograph (taken within the last 2 months) now and make a $10.00 donation online. (check to upload photo)
	I will upload a recent photograph now and drop off 2 non-perishable food items or an unused toy or a $10.00 donation to one of the listed locations. (check to view locations)
	I will mail a recent photograph with a $10.00 donation.
	I have already made a donation. I will upload a recent photograph now.

Upload a recent photograph of your baby or child (a photo taken within the last 2 months)

Drop off Locations

	Cheeky Monkey - 555 Wellington Road, London ON
	Cheeky Monkey - 590 Oxford Street East, London ON
	Advantage Elgin Travel & Cruises, Elgin Mall, St. Thomas ON
	Libro Financial Group - 420 Erb St. W., Unit 1, Waterloo ON
	Libro Financial Group - 55 Northfield Dr. E., Waterloo ON
	Libro Financial Group - 1170 Fisher-Hallman Rd., Kitchener ON

3. How did you hear about this contest?

	Internet Search
	Facebook
	Twitter
	Received Printed Guide
	Friend/Family
	Flier or Poster
	Photography By Lisa Stead
	Kelly MacDonald - Photographer
	Michlynn Schweitzer - Photographer
	Zelia Bester - Photographer
	Amanda Smith - The Memory Keeper
	Cheeky Monkey
	Advantage Elgin Travel
	Libro Financial Group
	Other