Nickelodeon Universe : Not Your Ordinary Birthday Form


	Win the Ultimate Birthday Party! If you are a kid between 6-18 years old who loves Nickelodeon Universe®, submit an essay telling us WHY YOU DESERVE TO WIN THE ULTIMATE BIRTHDAY PARTY! (Don't forget to ask your parent's for permission first!) 250 words or less please.
	I am submitting my child's essay. I am submitting my essay and I am between the ages of 13 to 18 years old.
	Child's Name* First Name Last Name
	Child's Age*
	Parent's Name* First Name Last Name
	Mailing Address* City State Zip Code
	Email*
	Phone*
	Why should you win the ultimate birthday party ?* 1249

Win the Ultimate Birthday Party!