Wellness Box Nomination Form
Last year, we were supported by Piglets Pantry to provide 50 wellness boxes for Sompting Residents who would of been alone last Christmas.
This year we have partnered with Piglet Pantry and One Stop. We know social isolation is still in our community, if you know of a resident who would benefit for a wellness please nominate them
Sign in to Google to save your progress. Learn more
Name of the Resident you wish to nominate *
Address of the resident you are nominating *
Why are you nominating this resident? *
Your Name *
This for reference only, all details will be deleted after the 23rd December 2021
Your email address *
Would you like your name included in the Christmas Card? *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy