WIN 4 Taylor Swift Tickets!

Win 4 tickets to see Taylor Swift on SEP 29, 2018, 7:00 PM at NRG Stadium. Please enter below. Want a bonus entry? Post a photo of your brightest Wheeler PD smile on Instagram with the hashtag #WheelerRocks or tag us on Facebook. (Remember, we won't see your entries if your accounts are private. You may also email your photos to jennifer@wheelerpd.com for posting.) Be sure to share this entry form with a friend, too. Thanks!

WHEEL you win?
What is your Name? *
Your answer
What is your email address? *
Your answer
What is your Wheeler PD Patient's name? *
Your answer
What is your Cell Phone Number? *
Your answer
Did a Wheeler PD patient-parent share this contest link with you? We'd love to thank them! What's your friend's name?
Your answer
The WHEELER WINNER will be chosen via a RANDOM DRAWING from among the entries.
Blah, blah blah...The fine-print: Each photo submission gives Wheeler Pediatric Dentistry permission to display each contestant's name and photos digitally or in print during and after the contest. Keep all entries clean, fun, and respectful. Wheeler PD will use random measures in selecting a winner. Final selections will be at the full discretion of Wheeler Pediatric Dentistry. Sweepstakes Eligibility Valid for Entries in the Wheeler Pediatric Dentistry geographic service area only. Enter before 9-26-2018.
Click Yes to Confirm that You've Read the Fine Print *
Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms