Their First Name:
Their Last Name:
Their Age:
Their Birthdate: Please use the following format for birthdate- mm/dd/yy example- 02/26/08
Your Email:
Your Birthday announcement for WYOU/WBRE:
Give us some information about the birthday boy or girl:
Upload photos of the birthday guy or gal here!: **NOTE: Image uploads are limited to 6 MB.  So, please be sure your photo is smaller than this size; otherwise, we won't get it!
U.S. law requires that we ask your birthdate:	By checking this box, you agree that you are 13 years of age or older.
As a security measure please enter the words in the image in the box below.