Surprise Squad Nominations
Do you know someone who deserves a Surprise Squad visit? Let us know by filling out the form below.
Your Information
Your Full Name
First Name
Last Name
Your Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Your Email
example@example.com
Your Phone Number
Please enter a valid phone number.
Why does your nominee deserve to be surprised?
Upload a photo of the nominee.
Browse Files
Drag and drop files here
Choose a file
Images should be in .jpeg format. Recommended image size is 1920x1080 and file size should be less than 5mb per photo.
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Nominee's Information
Nominee's Name
First Name
Last Name
Nominee's Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Nominee's Phone Number
Please enter a valid phone number.
Nominee's Spouse (if applicable)
First Name
Last Name
Nominee's Place of Work (if applicable)
If selected, what's the best day and time to surprise the nominee?
If selected, where's the best place to surprise the nominee?
NOTE
Please note, the FOX5 Surprise Squad is only able to fulfill surprises in Las Vegas and the surrounding areas.
Submit
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