Share your story!

Do you have an adorable photo of your child or children? Upload a photo you’ve taken via the form below to be added to our community of cute kids! Each month, we’ll randomly select one photo to be featured as Kid of the Month.

Parent's Name(Required)

First Last

Email(Required)

Phone(Required)

Preferred method of contact?(Required)

Phone

Text

Email

Other

Social Media Handles

If your photo is chosen to feature on our social media channels, we will tag your account if we are able to. Due to certain privacy settings, this may not be possible for all accounts.

First Name(s) of Child/Children(Required)

Tell us about the photo or about your child/children.(Required)

Photo Submission(Required)

Accepted file types: jpg, png, Max. file size: 100 MB.

Mailing Address(Required)

In the result that your photo is chosen for Kid of the Month, we will mail you a certificate.

Street Address Address Line 2 City State ZIP Code

Permission(Required)

By checking this box, I verify that I have rights to the photograph(s) and give Eugene Pediatric Associates permission to use said photograph(s) for promotional purposes.

If you change your mind and no longer want to be included, please contact us here.

Turell Group is our marketing partner and you may be contacted by a member of the Turell Group team regarding Kid of the Month. Your contact information will not be used for any other purposes besides the Kid of the Month promotion.

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