Celebrity Mask Submission Form
Please fill out this form and mail both the mask and the form (or a handwritten note with the celebrity's full name and a point of contact) to The BCRC Office: 4807 Spicewood Springs Rd, Bldg. 1 Suite 1100, Austin, TX 78759. Send your celebrity photo with the mask to our Development Specialist, Jessica Aleman, at
Thank you for your donation and support!
Point of Contact
Celebrity Full Name
List any other items that are being sent with the mask.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service