BLACK HISTORY MONTH: Leaders Of Tomorrow
Please use this form to nominate a future leader in our community.
Reason For Nomination
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Describe what kinds of things your child has done in the community. Perhaps, volunteer work, fund raising, awards received.
0/250
2. Nominee Information
Nominee's Name
*
First Name
Last Name
I agree that the information above is true and correct and that I am the parent or legal guardian of the minor nominated above.(If your minor is selected by Magic 106.9, our Promotion Director will email you legal docs to sign. This will give Magic 106.9 permission to use the photos, videos and/or audio from the nominated minor. )
*
YES
3. Your Information
Your Name
*
First Name
Last Name
Your E-mail Address
*
Your Phone Number
*
-
Area Code
Phone Number
Send Nomination
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