Southlake Cares 20 Days of Cheer Entry Form

First and Last Name*

Address*

Phone Number*

Email*

Donation Receipt Upload*

Please upload a pdf or photo of the donation receipt to a Southlake Cares organization, including the total donation amount and your name. The uploaded image must be clear and legible to confirm your entry.

Drag and drop files here or

By submitting this form, you agree to the full and complete Official Rules of the contest found at CityofSouthlake.com/SouthlakeCares and certify that all information on this form is complete and represented accurately. All information provided is considered public pursuant to the Texas Public Information Act.

I agree to the statement above and the Official Rules of the contest*

Send me a copy of my responses