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NOMINATE A FAMILY
FOR A JITTERZ CHRISTMAS SPONSORSHIP
Help us make the holiday season brighter for families in need. Please fill out the form below with as much detail as possible.
NOMINATION FORM
Name
Email
Phone Number
Relationship to Family
Family Name
Email
Family Phone Number
Nominated Family Information
Why are you Nominating this Family?
What are the Family's Specific Needs/Wishes?
Consent Confirmation. By checking this box, I confirm that the nominated family is aware of this nomination and agrees to participate if selected.
Submit
Thank you! We will review your nomination and be in touch if your family is chosen.
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