More Good Days Recipient(s) Nomination
Do you know of someone walking through a valley who could use someone to walk alongside them ? We would love to hear about them. We take seriously the sensitive and often private nature of this information and will consult the nominating party before disseminating any information. Someone from our team will be in personal contact to decide the most respectful and tactful way to care for recipients and will only discuss that which is relevant to provide appropriate services and care.
Email *
Individual/Family's/potential donee's name *
Brief explanation of situation/ your connection *
Location of above family's home *
Location of their relevant activities (medical treatments, kids school/sports etc.) *
More Good Days Services you think would be most relevant *
Your Contact/ Preferred Method to get in touch to discuss further *
Any other details you'd like to add
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