National Student Athlete Day Giveaway
Fill the form below and follow us on social media to nominate your favorite athlete for a chance to win one of two $45 Cinergy gift cards!
Athlete Name
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First Name
Last Name
Grade
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K-12 or College
Sport(s)
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Has the athlete done vision therapy (VT)
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Yes
No
If yes, did the athlete see improvements in school/sports after VT?
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Yes
No
Tell us why you are nominating this athlete:
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Shout them out: hard work, dedication, performance, etc.
Photo Upload
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Choose a file
Include a picture of the athlete in uniform and/or in action.
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Nominator Acknowledgement: by typing your name here you release STVDC to promotionally share pictures and quotes from this form.
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First Name
Last Name
Winners will be announced via social media!
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