About Our Forms

We are committed to protecting your personal information.

  • Data you provide cannot be viewed by anyone else on the Web
  • Security is maintained by industry-standard SSL (secure socket layer) encryption and decryption technology when needed
  • The SSL protocol is used to ensure that your information is sent directly to us, and that only we can decode it
  • We do not share your information with anyone else

MORE INFORMATION
Legal Notices

Boomer's Buddy

Program Registration

Please complete each item below and click the Register Now button. Rules & Regulations

Child's Information

(Child must be between 8 and 12 years of age.)
Male Female
Youth
S M L XL
or Adult
M L XL

Parent or Legal Guardian's Information

(check one) Email Postal Mail Telephone


Consent:
By clicking the Register Now button, I consent to allow my child to participate as the Riley Hospital for Children at IU Health Boomer's Buddy, if selected. I have also read and agree to the terms and conditions outlined in the Contest Rules and Regulations.
Riley Boomer