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Baby Face 2009 - Application Form

All information you have provided will be held in the strictest confidence.

Please be asured that any images taken of your child will be used only to promote the Ezee-Reach baby product range.

If you prefer to send your photograph by post plese send to:
Ezee Reach
20 Burners Lane
Kiln Farm
Milton Keynes
MK4 4EG

The following fields are required:
Child's First Name
Age of child at time of registration
Parent / Carer Name
Address
Post Code
Email Address
Day time telephone no

In not more than 100 words please tell us about the following:-

  • a) your child’s personality.
  • b) Does your child react well to other children and adults.
  • c) Is your child allergic or dislikes certain foods. Is there a food which is prohibited for religious reasons. We will ensure food used for the photo-shoot complies with the information we are provided.
  • d) Has your child ever used any product in the Ezee-Reach range.
  • e) If so what product and how beneficial did you find it.
Baby's Photo
I agree to the Terms & Conditions of submission.
 
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