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Nominate A Child
Application
First & Last Name of Nominator
Email
What is the name of the child you are nominating?
What are the names of the parents or legal guardians of the nominated child (if nomiator is not the parent)?
Parent/Legal Guardian Email Address
Date
Phone
Parent/Legal Guardian Cell Number
Tell us about the child's current battle?
Can you share some special details about the child?
List up to (3) Charlotte area Acts of Kindness that would mean the most to the child you are nominating.
Are there any celebrities (in Charlotte or the surrounding areas) that the child looks up to or might like to meet?
What timeline would be most convenient for your child to receive an act of kindness?
Is there anything else that we need to know?
Submit
Thank you! We’ll be in touch.
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