"Cash 4 Class" Nomination Form
Activate Your Health Chiropractic would like to help area teachers receive "Cash 4 Class" this year. Each month we will gift one teacher a $150 gift card to Target. Any NW Missouri Pre-K - 12th grade teacher is eligible to win. Please fill out the form below to nominate your favorite teacher. Please direct any questions to
Nominee Information: Name, School, Grade, and Phone/Email
Nominator Information: Name, Email, and Phone Number
Please tell us why you chose this teacher to nominate. What sets them apart from the other professionals in their field?
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