Cancer Photoshoot Form

Cancer photoshoot Nomination Form

Please fill out the form below accurately. All forms must be submitted by the 25th of the month to be scheduled for the following month. I am sorry but there are NO EXCEPTIONS as this is not fair for the remaining nominees.
Nominated Person*
Phone Number*
E-mail
example@example.com
What part of the Grand Strand are you/they located?*
How old are you/they?
Nominator:

Person submitting the nomination
Full Name*

First NameLast Name
Who are you to the Nominee?*
E-mail*
example@example.com
Phone Number*
What social media outlet is best and how is your ID/Name listed?
Nominee Information

Please indicate details about your nomination
What type of Cancer do you/they have?
What stage is the Cancer?
Describe why you/they should get a free photoshoot?*
Should be Empty:

Cancer photoshoot Nomination Form