Dream Room Application

BACKGROUND INFORMATION

    Child's Family Information

  • Contact Information

  • Household Information

  • Child Details

 

QUESTIONS FOR THE CHILD

 

QUESTIONS FOR THE PARENTS

 

RELEASE FORM

  • If selected to participate, you may be filmed, videotaped and photographed, and your child’s name, image, voice and likeness may be used in or publicize by Sweet Dreams Foundation or any of its partners, but Sweet Dreams Foundation is in no way obligated to, use any such materials in or in connection with any advertisements, promotions, marketing, merchandising, or in any other manner. By signing below, you waive any rights of privacy or publicity in connection with Sweet Dreams Foundation and certify that all information stated by you on this Application Form is true and correct.
  • By submitting this completed application, you acknowledge and agree that if your child is selected by Sweet Dreams Foundation, the child cannot use or otherwise look at his/her bedroom until Sweet Dreams Foundation has completed the “Dream Room Project”. Additionally, you authorize and consent to Sweet Dreams Foundation’s use of any and all items submitted with your application to promote and raise funds for your child’s dream room and/or the promotion of Sweet Dreams Foundation. This may include posting submitted items on Sweet Dreams Foundation’s website.
 

Verification

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