VIP Preferences Form
Please complete one form per child
Child’s Name *
Date of Birth *
MM
/
DD
/
YYYY
Parent Name(s)
Parent(s) DOB
Occupation(s)
Child Grade & School Attended
Child's Favorites
Subject in school
Beverage (healthy)
Snack
Book
Character
Color
Movie
Hobbies
TV Show
Parent Info & Preferences
Beverage (non-alcoholic)
Snack
Hobbies
Music
Scent
Magazine
Flower
Form completed by:
Date
MM
/
DD
/
YYYY
Submit
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