Are you a special kid?  Do you know of someone who is?  Do you think this special person should be one of Lily's Heroes?

Please follow these three simple steps to nominate your hero:

1. This parental consent form must be filled out, signed and returned by a parent or guardian.

2. If you would like to include a picture or two, please email it/them to pictures@kidsareheroes.org

3. Fill out the form below and click the "Go" button! Please recheck the spelling of your email address to make sure we can contact you.

 

Help us go global! If your native language is NOT English, tell us about your hero in your native tongue. We will still need an English translation so please make sure you fill in that field as well. We will showcase your hero in YOUR language with a button to translate so others can read it too!

Hero First Name*:

Hero Last Name*:

Age of Hero: (No older than 17)

Your Full Name*:

Your Relationship to Hero*: (Parent, friend, self, etc.)

Parent's E-Mail*:

Parent Telephone*:

Hero's School:

Where does Hero Live? (No exact addresses, please)

 

Country*

State/Province*

County/City

Twitter ID (optional)

Facebook Fan Page (Full URL if any)

Link to latest press (optional)

Web site (optional)

Security Word* (Enter the word you see to the right of the field.)

How did you hear about us?*

 

Tell Us About the Hero and What He/She is Doing* (English Only)

   

Tell Us in YOUR Native Language (If NOT English)

 

Note: Application will not be accepted without pictures and consent form. (See above.)

* = Required Field
 

Share

Sitemap                                         Copyright © 2013  Kids Are Heroes, Inc.  All Rights Reserved.