Date of Birth *

MM

DD

YYYY

Name of Lego Staff Member *

First Name

Last Name

Would you like to showcase an idea at the Crackerjack Concourse? *

(You can do this individually or as part of your team. If you select 'yes' more information will be sent to you via email.)

Yes

No

Would you like to perform in the Crackerjack Concert? *

(You can do this individually or as part of your team. If you select 'yes' more information will be sent to you via email.)

Yes

No