Cool Kid Nomination
Name
First Name
Last Name
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Name of your prospective Cool Kid
First Name
Last Name
Town Cool Kids lives in
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Age
-
Month
-
Day
Year
Date
Grade
Name of School
This Child is a Cool Kid because of (check all that apply)
A special skill or ablility
Academic excellence
Community engagement/service
Church or mission work
Amazing accomplishment
Overcoming a hardship or obstacle
Please explain why you have nominated this Cool Kid
Picture of your Cool Kid (optional)
Browse Files
Cancel
of
Submit
Should be Empty: