Brilliant Minds
Hooray! We're so glad you've decided to join the Brilliant Minds Ambassador program. As an Ambassador, you'll be among the first to hear about brand new children's products, provide feedback via our quick and easy online surveys, like and share exciting news online, and have a chance to win gift cards, toys, and other prizes, just for speaking your mind!

Simply respond to the questions below to be added to our list.

To learn more about Brilliant Baby Products visit us online at www.brilliantprandmarketing.com or contact us at Info@BrilliantBabyProducts.com.

Please know that signing up for this program will automatically add you to our newsletter mailing list. Please know that we never share your information.

First Name *
Your answer
Last Name *
Your answer
Your Date of Birth *
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DD
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YYYY
I am a ________ to children 0-15 years old. *
Email Address *
Your answer
City *
Your answer
State *
If you answered 'other country' above, please tell us which one:
Your answer
Please specify your ethnicity? Please check one. – one response *
What is the highest level of education you have completed?  *
What is your profession?
Your answer
Thinking about your child(ren), please check each box that applies to their current age(s). I have a child(ren) who is:
What is your total household income? *
My children attend – please check all that apply:
Are you/Have you/Do you plan on breastfeeding?
How did you hear about the Brilliant Minds program? If referred please list first & last name. *
Your answer
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