Before filling out the following Entry Form, please prepare your photos.

How to Prepare Your Photos

All photos must be taken from a digital camera and uploaded as jpg, gif or png file. Photos should be no smaller than 8 x 10 inches at 300 pixels/inch. File size cannot be more than 3 Megabytes.

Entry Form

Your Personal Information
Please provide the following information.
(It may be necessary to contact you with questions or to award prize!)

first name
First name required.
home address
last name
Last name required.

Hospital Dept required.
Phone is required.
zip code
Email is required.

Your Photo Entries
Upload only photos prepared according to instruction above.
(the browse button allows you to add files for uploading)

photo 1
photo 2
photo 3
photo 4
photo 5

Acceptance of legal conditions is required.
This check indicates that you have read, understand and agree to the legal conditions section within this site.

Prove you are not a ROBOT, enter the NUMBER: 58

Please click submit once only (upload may take a few minutes).


Questions regarding contest rules or technical matters, including problems uploading photos, can be emailed to: