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GrandPal Nomination Form
Welcome to our intergenerational family, where we, Goodfellows are here to provide you with the same love and attention as your grandkids. In addition to building meaningful connections, here are some of the activities, monthly event that our Grandpals (seniors) enjoy doing with their young friends
You will receive a call on the phone number provided by you.
Meet one of our core team members for an introductory meeting in the comfort of your house.
Choose a subscription based on a personalized plan
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Email
*
Record my email address with my response
Your Full name
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Your answer
Contact number
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Your answer
Email Address
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Your answer
Name of the Grandpal you want to nominate
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Your answer
Age
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Your answer
Does the Grandpal live alone?
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Yes
No
Does the Grandpal have any of the following?
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Dementia
Alzheimers
Parkinsons
Other Neurological disease
None
Required
How do you know this Grandpal?
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Your answer
Area of residence of Grandpal
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Your answer
Contact number of the Grandpal
Your answer
Why do you think they would need a Goodlfellow?
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Your answer
Do they have sons and daughters? If yes please provide details
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Your answer
Anything else you want to tell us about this Grandpal?
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Your answer
Send me a copy of my responses.
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