General 3 — The Grumpy Rabbit

Celebrate the

Little Grumps

Help us reward the littlest Grumps ages 12 and under! Simply provide the required information below for up to 3 children (additional children may be added by submitting the form a second time) and you will receive special rewards and offers just for them including a birthday treat!

Parent's/Legal Guardian's Email Address

Parent's/Legal Guardian's Name

First Name

Last Name

Child 1 First Name

Child 1 Birthday

YYYY

Child 2 First Name

Child 2 Birthday

YYYY

Child 3 First Name

Child 3 Birthday

YYYY

Checkbox

Any information provided herein is for the sole purpose of benefits related to membership in The Little Grump Club and will not be shared or sold for any purposes other than membership. Provided email address will be used for communication related to membership in The Little Grump Club on behalf of any children indicated on this form.

I understand

Celebrate the

Little Grumps

THE GRUMPY RABBIT

HOURS