Social Justice Love nomination

Justice Love Nomination

Please fill out this form to nominate someone to be gifted a free spot at the upcoming Mendocino Weekend Retreat: Sat May 18th - Sun May 19th with Aviva Levine E-RYT 200, Certified TRE Provider and founder of Breathe In Love Retreats

Is there someone you feel is a justice warrior in the Bay Area - an individual who sacrifices their time and/or income to uplift others within our community? Nominate them for a weekend of rejuvenation including yoga, TRE (tension, stress & trauma release,) and a Full moon celebration with option for craft time!
Award

Justice Love Recipient
Reason For Nomination.
Explain why your nominee deserves the selected award.

2. Nominee Information (choose one of the contact options below)
Nominee's Name*

First NameLast Name
Nominee's Phone Number

Area CodePhone Number
Nominee's E-mail Address (or choose FB profile option below)
example@example.com
Nominee's Facebook Profile
copy and paste their FB profile link - unless private
Link to their work/cause
link to promote their work/cause

3. Your Information
Your Name*

First NameLast Name
Your E-mail Address*
example@example.com
Your Organization
Your Phone Number

Area CodePhone Number
Should be Empty: