e 18/04 win ur toddler on the telly

bella165

http://www.nickjr.co.uk/shows/picme/upload.aspx
<TABLE cellSpacing=3 cellPadding=0 width=400 align=center border=0><TBODY><TR><TD vAlign=top align=middle colSpan=2>Give your toddler the chance to be a STAR in Nick Jr.'s PICME! Your toddler could be appearing in their very own animated animal storyline!

To be in with a chance, please enter your child's details below. You'll then be taken to an upload page where you can send us a digital image of your toddler & their brother, sister or even best friend.
</TD></TR><TR><TD align=right></TD><TD vAlign=top><INPUT id=name title="Your Google Toolbar can fill this in for you. Select AutoFill" style="BACKGROUND-COLOR: #ffffa0" name=name></TD></TR><TR><TD align=right></TD><TD vAlign=top><INPUT id=age title="Your Google Toolbar can fill this in for you. Select AutoFill" style="BACKGROUND-COLOR: #ffffa0" name=age></TD></TR><TR><TD colSpan=2>

<INPUT type=radio CHECKED value=boy name=sex> Boy <INPUT type=radio value=girl name=sex> Girl

</TD></TR><TR><TD align=right></TD><TD vAlign=top><INPUT id=email title="Your Google Toolbar can fill this in for you. Select AutoFill" style="BACKGROUND-COLOR: #ffffa0" name=email></TD></TR><TR><TD align=right></TD><TD vAlign=top><INPUT id=address title="Your Google Toolbar can fill this in for you. Select AutoFill" style="BACKGROUND-COLOR: #ffffa0" name=address></TD></TR><TR><TD align=right></TD><TD vAlign=top><INPUT id=towncity title="Your Google Toolbar can fill this in for you. Select AutoFill" style="BACKGROUND-COLOR: #ffffa0" name=towncity></TD></TR><TR><TD align=right></TD><TD vAlign=top><INPUT id=postcode title="Your Google Toolbar can fill this in for you. Select AutoFill" style="BACKGROUND-COLOR: #ffffa0" name=postcode></TD></TR><TR><TD align=right></TD><TD vAlign=top><INPUT id=phone title="Your Google Toolbar can fill this in for you. Select AutoFill" style="BACKGROUND-COLOR: #ffffa0" name=phone></TD></TR><TR><TD vAlign=top align=right></TD><TD vAlign=top><TEXTAREA id=textarea name=additional rows=4></TEXTAREA></TD></TR><TR><TD colSpan=2>If you would like to be sent emails keeping you up to date with PICME and Nick Jr. Please tick this box: <INPUT type=checkbox CHECKED value=1 name=emailOK>


</TD><TR><TD vAlign=top align=right>Where did you hear about PICME? </TD><TD vAlign=top><TEXTAREA id=textarea name=whereHear rows=4></TEXTAREA>

</TD></TR><TR><TD vAlign=top align=middle colSpan=2>If you would you like to upload a friend or family member of this applicant after you finish, please tick this box: <INPUT id=addFriend type=checkbox value=1 name=addFriend>

I agree to be bound by the terms and conditions <INPUT id=agreeTerms type=checkbox value=1 name=agreeTerms>

<INPUT type=hidden name=friendCode>
<INPUT type=image src="http://www.nickjr.co.uk/global/media/forms/Submit.gif&quot; name=Submit>

</TD></TR><TR><TD vAlign=top align=middle colSpan=2>Click Here to read our Terms and Conditions</TD></TR></TBODY></TABLE>