100Th Birthday Form PDF Details

Marking a centenarian birthday or a significant wedding anniversary is a momentous occasion that often deserves public acknowledgment. One way to celebrate these remarkable milestones is by submitting a request for an on-air announcement through the Willard Scott Birthday/Wedding Anniversary Request Form. This special form invites submissions to honor those reaching their 100th birthday or couples who have been married for 75 years or more, aiming for recognition on the TODAY Show. It requires detailed information about the celebrant(s), including their name, the type of celebration, exact age or years of marriage, contact details, and some personal touches such as hobbies, interests, secrets to longevity, and any other interesting facts or stories that make their journey unique. Additionally, the form asks for the contact information of a person who can be easily reached, ensuring a smooth communication process. This unique opportunity not only celebrates significant milestones but also shares the rich stories of longevity, love, and life well-lived with a wider audience.

QuestionAnswer
Form Name100Th Birthday Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other names100th birthday acknowledgements, birthdays birthday form printable, today show smuckers birthday, today show birthdays for 100

Form Preview Example

WILLARD SCOTT BIRTHDAY / WEDDING ANNIVERSARY

REQUEST FOR ON-AIR ANNOUNCEMENT FORM

CELEBRANT’S FIRST & LAST NAME: (include pronunciation if necessary)

PLEASE SELECT THE TYPE OF CELEBRATION:

CENTENARIAN BIRTHDAY:

 

WEDDING ANNIVERSARY:

The age of celebrant on his/her birthdate: __________

The celebrants’ years of marriage: __________

For a chance at TODAY Show recognition, the celebrant must be

For a chance at TODAY show recognition, the couple must be

at least 100 years old.

 

married 75 years or more.

 

 

 

 

GENDER:

MALE

FEMALE

BIRTHDAY/ANNIVERSARY DATE:

 

 

 

(include month/day/year)

HOME/MAILING ADDRESS:

CITY:

STATE:

ZIPCODE:

 

 

 

 

 

 

HOBBIES/INTERESTS:

 

 

 

 

 

SECRET(S) TO LONGEVITY:

 

 

 

 

 

OTHER INTERESTING FACTS/STORIES:

 

 

WILLARD SCOTT BIRTHDAY / WEDDING ANNIVERSARY

REQUEST FOR ON-AIR ANNOUNCEMENT FORM (CONTINUED)

NAME OF PERSON TO BE CONTACTED: (who can be easily reached)

DAYTIME PHONE NUMBER:

CHECK:

HOME

WORK

MOBILE

 

 

 

 

 

 

EVENING PHONE NUMBER:

CHECK:

HOME

WORK

MOBILE

 

 

 

 

 

RELATION TO THE CELEBRANT(S):

 

STATE OF

 

 

(ie. son, daughter, grandchild, sibling, friend)

 

RESIDENCE:

 

 

How to Edit 100Th Birthday Form Online for Free

It is possible to complete the smuckers birthday form using this PDF editor. These actions will enable you to easily prepare your document.

Step 1: Select the orange button "Get Form Here" on the page.

Step 2: After you've entered the smuckers birthday edit page, you will notice all functions it is possible to undertake regarding your template in the top menu.

All of these parts are contained in the PDF document you will be completing.

entering details in 100th birthday acknowledgements part 1

Indicate the details in OTHER INTERESTING FACTSSTORIES.

Filling out 100th birthday acknowledgements stage 2

In the NAME OF PERSON TO BE CONTACTED who, WORK, MOBILE, EVENING PHONE NUMBER CHECK HOME, WORK, MOBILE, RELATION TO THE CELEBRANTS ie son, and STATE OF RESIDENCE part, highlight the valuable information.

stage 3 to completing 100th birthday acknowledgements

Step 3: If you're done, click the "Done" button to upload the PDF file.

Step 4: Generate a duplicate of every single file. It may save you time and allow you to stay clear of challenges in the long run. By the way, your information is not revealed or analyzed by us.

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Related Resources

  • Recognize Your Favorite Centenarian and their Birthday! | New England Centenarian Study

    We can get you in touch with local recognition programs, including annual celebrations in honor of centenarians. To find out about your state’s recognition programs, please click here to email Project Manager, Reena Karki or call us toll free at: 1-888-333-6327. Click here to complete the form online, or to send a written request click here to download the form and mail it, with a photo, to the address below.

  • Willard Scott - Wikipedia

    Willard Herman Scott Jr. (born March 7, 1934) is an American retired weather presenter, radio and TV personality, actor, narrator, clown, comedian, and author, best known for his TV work on the Today show as weather reporter and as the creator and original portrayer of Ronald McDonald. Scott was born in Alexandria, Virginia, on March 7, 1934, and attended George Washington High School. He showed an interest in broadcasting as a 16-year-old, working in 1950 as an NBC page at WRC (AM), NBC's owned-and-operated radio station in Washington, D.C.[2] Scott then attended American University, where he worked alongside fellow student Ed Walker at WAMU-AM, the university's radio station (1951–1953).

  • 100th birthday celebrations on TODAY: Nominate a loved one here

    Are you or a loved one celebrating a birthday or anniversary? Let us know your story, and we may celebrate your milestone on TODAY! TODAY's Al Roker and our sponsor Smucker's are continuing Willard Scott's tradition of recognizing viewers turning age 100 or older and couples who have been together for 75 years or more.

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