Winners Travel Contest Nomination Form
Winners Travel Foundation (https://winnerstravelfoundation.com/) gives trips to veterans and caretakers of disabled people. During the month of April, Winners Travel is giving away 2 trips for caretakers of Autistic people. Feel free to nominate a caretaker you know about or yourself if you are a caretaker. Please complete the form below for a chance to give away an amazing getaway trip. The trips will be catered to what the winner wants! (within reason) Time to give back to the ones who give so much during Autism Awareness Month! Sign up now because it ends April 22 and the winner will be announced April 30th.
Caretaker Full Name
First Name
Middle Name
Last Name
Current Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email Address
example@example.com
Phone Number
Are you the caretaker?
Please Select
Yes
No - Family / Friend
If no, please explain relation to caretaker in story below.
How many years has the caretaker been watching after their Autistic person?
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Upload a picture of the caretaker and the Autistic person being cared for
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Why did you nominate this person?
Give us a meaningful story about a time this person (or yourself) impacted the life of the person cared for.
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