SMART529 20th Anniversary Scholarship Sweepstakes Entry Form
Before completing the entry form below, please review the SMART29 20th Anniversary Scholarship Sweepstakes Official Rules to understand the eligibility criteria for the contest.
Parent/Legal Guardian Full Name:
First:
 
Middle:
 
Last:
 
Suffix:
 
Mailing Address:
 
City:
 
 
 
 
State:
WV
 
Zip Code:
 
Phone Number:
 
 
 
 
By entering your email address, you give permission for the West Virginia State Treasurer’s Office and the SMART529 program to email you about special promotions and offers. You may opt out at any time.
Email Address:
 
Child Full Name:
First:
 
Middle:
 
Last:
 
Suffix:
 
Child Birthdate:
 
Last 4 of Child's SSN:
 
By typing my name below, I agree to and accept the SMART529 20th Anniversary Scholarship Sweepstakes Official Rules.

I certify that my child and I are West Virginia residents and meet the eligibility criteria set forth in the SMART529 20th Anniversary Scholarship Sweepstakes Official Rules. If selected as a winner, I will provide all requested documentation to prove eligibility. I understand that all eligibility requirements must be met in order to receive the prize.

I understand that if selected as a winner, the prize will be placed in a SMART529 account. I understand that all federal, state, and/or local taxes are my responsibility.

I understand that the email address entered may be used by the West Virginia State Treasurer’s Office and the SMART529 program, including the program manager and other partners, to email me about special promotions and offers. I may opt out in the future at any time.

I certify that all of the information provided by me is, and all information provided by me in the future will be, true, complete and correct.

By typing my name below, I am agreeing to all of the requirements set forth above.
Parent/Legal Guardian Full Name:
 
Date: 12/3/2022