Burry Heights Appreciation Tree Nomination
Burry Heights Appreciation Tree is a way to recognize individuals who have significantly contributed to the community of Burry Heights Camp and Retreat Centre- individuals who have upheld the values of Burry Heights, through their support, by means of financial contribution, spiritual guidance, or otherwise.

If you feel that someone you know has done so, and deserves recognition, please complete the form below to nominate them. Two nominees will be selected annually, and a plaque in each of their names will be added to the Appreciation Tree at Burry Heights Day of that year. The deadline each year will be at the Annual General Meeting, taking place in March (annual date TBD).
Date
MM
/
DD
/
YYYY
Nominee Information
Please provide the following information on the nominee
Name
Your answer
Home Address
Your answer
Email Address
Your answer
Phone Number
Your answer
Nominator Information
Please provide the following information on the nominator
Name
Your answer
Home Address
Your answer
Email Address
Your answer
Phone Number
Your answer
Description
In what ways do you feel that the nominee above has contributed notably to the community of Burry Heights?
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy