Are you a special kid?  Do you know of someone who is?  Do you think this special person should be one of Lily's Heroes?

Maybe your son or daughter is participating in the community somehow?

Please follow these three simple steps to nominate your hero:

 

1. This parental consent form must be filled out, signed and returned by a parent or guardian.

 

2. If you would like to include a picture or two, please email it/them to pictures@kidsareheroes.org

 

3. Fill out the form below and click the "Go" button! Please recheck the spelling of your email address to make sure we can contact you.

Hero First Name:

Hero Last Name: Age of Hero:

 

 

 

Your Full Name:

Your Relationship to Hero: (Parent, friend, self, etc.)

 

 

 

Parent's E-Mail:

Parent Telephone:

Hero's School:

 

 

Where does Hero Live? (No exact addresses, please)

 

Country

State

County

     

Twitter ID (optional)

Facebook Page (Full URL if any)

 

 

 

Link to latest press (optional)

Web site (optional)

     

Tell Us About the Hero and What He/She is Doing

 

 

How did you hear about us?

Did you email pictures of your hero?

Did you remember to sign/return the consent form?

 
 

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