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Glaze Parent / Guardian Prize Claim

⚠️ This form must be completed by a parent or legal guardian of the winner. If you are under 18, please stop and send this link to your parent or guardian. Prizes cannot be fulfilled without guardian authorization.

Winner Information

Winner's Glaze Username

Winner's Age Range

Winner's Age Range
A
B
C

Parent / Guardian Information

Parent / Guardian Full Name

Parent / Guardian Email

This email will be used to deliver the prize.

Consent & Authorization

Prizes are typically delivered via digital gift card to the parent or guardian email provided on this form.
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