New Year's Baby 2016 Contest Registration
Please fill out this form completely to be entered into Kurt Nielsen Photography's contest.  You must be registered by 5pm December 30, 2015 to enter.  You must live within a 30 minute drive time from my studio to win.  You must email me at:  kurt@kurtnphoto.com or Call me at (419) 885-7153 as soon as possible after the baby is born so we can determine a winner.
Sign in to Google to save your progress. Learn more
First Name *
Last Name *
Email Address *
Re-enter Email Address *
must match other email address
Street Address *
City *
State *
Zip Code *
Phone Number *
Due Date *
How did you hear about our contest?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.