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!

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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