Thank you for your interest in our Birthday Club! Please complete the entire form below to be enrolled. No gift cards can be emailed to incomplete forms. Gift cards are emailed to the email addresses provided, valid for $25 towards your meal and a piece of cake! In order to receive your emailed certificate in time for your birthday, you must complete the below form before your birthday month. If you register during the month of your birthday, you will receive the email certificate to use for the following year. This email is valid for during your birthday month, for one-time use only and may not be forwarded or redistributed in any way. The Milleridge Inn reserves the right to refuse any gift card redemption at their discretion.