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Please make sure you have read and understand our services for children survivors for Wonderment Day before filling out the form below.
Nomination Form
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Thank you for your response. ✨
Your Name
(required)
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Where do you live? (Texas City or County)
(required)
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Email Address
(required)
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What brings you here today?
Select one option
I would like to nominate a child in my care
I would like to nominate someone else's child
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Child’s Name
(Only first name required)
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What are this child’s likes and dislikes? (Example: favorite colors, favorite animal, etc)
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Child’s gender
(required)
Male
Female
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Age Number
(required)
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(required)
Months
Years
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How do you know this child?
(required)
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Terms and conditions
I understand contact and scheduling must be made to meet with the child and a legal guardian in order to pick out a crocheted toy
(required)
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I understand that a toy will not be dropped off or mailed to individuals nominated but must meet in person at an agreed, public location
(required)
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I understand I might have to travel and that a toy will not be dropped off at a porch, house, or apartment
(required)
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I understand that scheduling must be made and might take time
(required)
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I understand that this nominated child will be added to a charity list and is not guaranteed a toy by submitting this form
(required)
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If you are unable to meet these terms and conditions please let us know so we can see how we can help.
(Leave blank if there are no issues with the above terms and conditions
)
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Preferred way to hear from us
(required)
Select one option
Email
Phone call
Text message
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Phone Number
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If you have anything else to add you may do so here (optional)
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That’s it! Send it over and we’ll get in touch with you.
By submitting your information, you’re giving us permission to email, call, or text you. We will never use your personal information submitted elsewhere.
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