KPTV Surprise Squad Nomination

Surprise Squad Nomination
Do You Have a Great Idea for the Surprise Squad's Next Stop?

Do you know someone in need who the Surprise Squad might be able to help? We'd love to hear from you! If you are nominating someone ELSE to be surprised, please make sure you provide enough information/details about them and how The Squad could find them. If we have questions or need to collect additional information, we will contact you using the information you provided. Please note that submitting a nomination does not guarantee you or your nominee will receive a visit from the Surprise Squad. Watch FOX 12 News to see where we will be next. The Surprise Squad is presented by Les Schwab Tire Centers.
Your Information
Your Full Name

First NameLast Name
Your Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Your Email*

Confirmation Emailexample@example.com
Your Phone Number*
Please enter a valid phone number.
Who Are You Nominating?
Nominee's Full Name*

First NameLast Name
Nominee's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Nominee MUST be local.
Nominee's Phone Number*
Please enter a valid phone number.
Why are you nominating this person?*
Please verify that you are human*
Should be Empty: