Piano Giveaway Nomination Form
The Piano Place is giving back this holiday season by partnering with Safe & Sound Pianos to give away a piano and a month of free lessons to one deserving family. We are so excited about this opportunity, but we need your help in finding this deserving family!

NOMINATION CRITERIA:
We are looking for someone who...
- Loves music
- Plays the piano or who has a desire to learn how to play
- Is between 8-18 years of age
- Is local to Utah or Salt Lake County
- Might not be able to afford a piano

You can nominate anyone you would like to as long as they meet the nomination criteria listed above. That means you can even nominate yourself!

**All nomination forms must be submitted by 11:59pm on 12/10
**Winner will be announced on 12/17
What is your first and last name? *
Your answer
What is your email address? *
Your answer
What is your phone number? *
Your answer
Would you like to remain anonymous? *
What is the first and last name of the person you are nominating? *
Your answer
Age of the person you are nominating? *
Your answer
City the person you are nominating lives in? *
Your answer
How do you know the person you are nominating? *
Your answer
Tell us a little bit about the person you are nominating, why you're nominating them, and why they deserve this! *
Your answer
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