Nominator Information:
Your Name (required)

Your Email (required)

Your Telephone Number (required)

How do you know the candidate? (required)

Candidate Information
(Please provide as much information as possible, based on the details available to you.)

Candidate Name:

Candidate Address

School Candidate Attends:

Candidate's Grade (JK to Grade 8):

Candidate's Age:

Candidate's Parent/Guardian Name:

Candidate's Parent/Guardian Phone Number:

Candidate's Parent/Guardian Email:

Outline why you feel the child should be considered for the Children's Hero Award. Include complete details of the safety act or deed performed.