Tuesday, September 23, 2014 5:27:52 PM
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Nominate a HearthSong Hero

If you know a young hero who is working to help other kids through play, we'd love to hear from you! Fill out our HearthSong Heroes Nomination Form and send it to us online through this website. You can find answers to any questions you may have in our How the Program Works section.

NOMINATOR

Please tell us a little bit about yourself.

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- Required Field
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  First Name
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  Last Name
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  City
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  State/Province
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  ZIP code
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  Email:
Phone number
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  How long have you known the individual you are nominating as a HearthSong Hero?
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  What is your relationship to your nominee?
Where did you first hear about HearthSong Heroes?
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  First name of Child
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  Last name of Child
Age of nominee as of December 31 of the current year
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  Please describe how your nominee is making a difference for other kids.(100 word maximum)
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  Is there a specific incident or turning point that motivated your nominee to take action? (100 word maximum)
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  Is there anything else that makes your nominee exceptional or unique? (100 word maximum)
If you would like to share any websites or online articles about your nominee's activities, you may enter up to 3 links here:
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  First name of Parent or Guardian
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  Last name of Parent or Guardian
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  City
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  State/Province
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  ZIP code
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  Email
Phone number
Video URL
Please type the security code exactly as it appears:
Text from image:

By submitting your nomination you agree that you have read and accept our Program Rules
(Please also check box)

The information you provide will be used in accordance with our privacy policy and the legal disclosures for HearthSong Heroes.

Call 1-800-533-4397
to speak with a friendly advisor
Email
Live Chat
Please fill out the form to chat with a representative.
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