FAIRVIEW'S ANNUAL

LEGO BUILDING CONTEST

LEGOpc@hotmail.com

First Name:

Last Name:

Birth Date:

Email Address:

Phone:

Postal Code:

Address:

City:

Province:

What is 9+10?=

Where did you hear about this contest?

I agree to letting my child participate in the contest, and to be contacted regarding the contest and any additional mailing or sign-up information.

Yes