Submit a Nomination

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NameEmail AddressPhone

What event would you like to apply for? Please include the city.

Would the attendee be happy being in the crowd?

Why are you nominating this person?

Are you nominating someone else?

Yes

No

Is the attendee registered in the public health system?

Yes

No

Do you require a support person to attend with you/them?

Yes

No

Thank you! Your submission has been received!

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