Wagga Mardi Gras 2025 Rainbow Trailblazer Award Nomination Form
About You
Name
*
First Name
Last Name
Email
*
example@example.com
About the person you are nominating
Name
*
First Name
Last Name
Email
*
example@example.com
Phone
*
What makes them a Rainbow Trailblazer and LGBTQIA+ Advocate in the Riverina?
*
Submit
Should be Empty: