Mighty Rubber Ducky Derby

To register, enter your name, address, telephone number(s), and e-mail address. Then click the Continue button to select your duck(s).

DEADLINE TO REGISTER ONLINE: Sunday, October 5, 2008 at 12:00 p.m.

DEADLINE TO REGISTER BY MAIL:
Friday, September 26, 2008

If registering by mail, please complete and print out pages 1 & 2 and enclose check payable to: Children's Bureau. Mail to: Mighty Rubber Ducky Derby, 50 S. Anaheim Blvd. Suite 241, Anaheim, CA 92805.

Prices
Individual Ducks (includes 1 park admission per duck)	$15
Flock of 3 Ducks (includes 3 park admissions)	$36
Flock of 6 Ducks (includes 6 park admissions)	$72
Flock of 12 Ducks (includes 12 park admissions)	$144
Special Group/Company Package of 50 Ducks (includes 50 park admissions)	$600
Special Group/Company Package of 125 Ducks (includes 125 park admissions)	$1,500
Special Group/Company Package of 250 Ducks (includes 250 park adimissions)	$3,000
V.I.D. Reception Adult (includes 4 ducks and 1 park admission)	$90
V.I.D. Reception Child ages 5 - 12 (includes 2 ducks and 1 park admission) children under 5 free with paying adult	$30

*Required fields are indicated with an asterisk.
Title*
First Name*
Middle Initial
Last Name*
Street*
City*
State*
Zip Code*
Day Phone #*	( )
Evening Phone #	( )
E-mail Address*
How did you find out about the Mighty Rubber Ducky Derby? Previous Participant A relative / friend told me I work for one of the sponsors (which one) I saw an ad on ABC 7 I saw an ad on Cox I saw an ad in the PennySaver I picked up an entry form (please list location) Other (please state how)