Change Today, Change Tomorrow: Bless The Block Nomination Form
Bless The Block is a holiday giving initiative to provide quality food, clothing and toys families in the West End. Know someone who will benefit from a blessing? Nominate them as a recipient below.
Your Name (Type "ANON" if you want to remain anonymous) *
Your Email
Recipient Name (First & Last) *
Recipient Email *
Which neighborhood does the family live in? *
Is the recipient a Feed the West family? *
Recipient Home Address & Phone Number *
Desired Wish List Items *
1 point
Please provide the following for each child (Ages 0-18 high school senior) in the home below: - Age - Gender - Clothing & Shoe size *
1 point
Submit
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