Nomination Form

I am nominating..

Name of person filling out form

Name of person being nominated

Your email

Email of person being nominated, or email of parent of person being nominated if under 18 years old (if applicable)

Nominee will be contacted for permission to be featured, unless person filling out this form is nominating themselves, is 18+ years old, or is the parent/guardian of nominee.

Are you the parent/guardian of person being nominated?

I am nominating myself, or this person because..

I hereby give consent to use my/my child's photograph(s) for The Recess Project social media and for The Recess Project Inclusive Playground Song music video. I understand the music video will be an animated version of myself/my child using the photograph(s) I provide. (Please check if submitting photos of yourself, or if you are the parent/guardian of nominee)

Please upload picture of nominee

File upload

Add up to 3 images

Confirm with your initials

Screenshot 2024-09-09 at 9.15.06 AM.JPEG

Here is an example of what the animated character for the music video will look like. There are 8 characters needed for the music video. Winners will be chosen randomly during a LIVESTREAM once our Inclusive Playground Song fundraiser reaches it’s goal of $2,000 to help build an inclusive school playground!

If you would like to donate or share the Inclusive Playground Song fundraiser with friends and family, please click the Donate button below to view the campaign page.

Thank you for all your support!

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Nomination Form

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