Boomer's Buddy - Riley Hospital for Children

Please complete each item below and click the Register Now button. Rules & Regulations

Child's Information

First Name

Last Name

Date of Birth (Child must be between 8 and 12 years of age.)

Gender: Male Female

Shirt Size: Youth S M L XL or Adult M L XL

Parent or Legal Guardian's Information

First Name

Last Name

Email Address

Telephone

Address

City

State

Zip Code

Please contact me by (check one): Email Postal Mail Telephone

Where did you hear about or read about this contest?

Consent: By clicking the Register Now button, I consent to allow my child to participate as the Riley Hospital for Children at IU Health Boomer’s Buddy, if selected. I have also read and agree to the terms and conditions outlined in the Contest Rules and Regulations.

ERROR: You must complete the form fully before submitting your registration.