Product Tester Registration -

Full Name

Please enter your full name as it appears on official documents.

This field is required.

Email Address

Please enter a valid email address for communication.

This field is required.

City

Enter the city where you currently reside.

This field is required.

ZIP Code

Enter your postal ZIP code.

This field is required.

Facebook Profile Name or Profile Link

Please provide the Facebook account you will use for campaign activities.

This field is required.

Instagram Username

Enter your Instagram username (leave blank if you do not have an account).

This field is required.

Child Information

Who would wear the product if you are selected?

Baby Girl

Baby Boy

This field is required.

Child’s Current Clothing Size

Select the child's actual current clothing size.

This field is required.

First-Choice Product

Select your first-choice product.

This field is required.

Second-Choice Product

Select your second-choice product.

This field is required.

I confirm that I am at least 18 years old and currently live in the Rapid City / Black Hills campaign area.

You must confirm your age and location to participate.

This field is required.

I have reviewed and agree to the Product Tester Campaign Official Rules.

Please confirm that you understand the rules for this campaign.

This field is required.

I understand that the product I select during registration is a preference and is not guaranteed until final tester selection and product availability are confirmed.

Understand that product availability may vary.

This field is required.

I understand that Break Or Die may verify my eligible campaign activities before awarding points or selecting products.

You may be asked to verify your activities related to the campaign.

This field is required.