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Please Read The Following:

The qualifications for a recipient are as follows. Must not have cruised prior, has a qualifying need (I.E. –  Medical Concern (not a serious condition that requires special medical equipment and care), Financial Need, Caregiver to an individual, Armed Forces Veteran, First Responder. You cannot nominate yourself or a family member.

Nominator Information

Nominator Name
Nominator Email

Recipient Information

Name
Email
Tell us about the person you are nominating, what is their situation and any pertinent information.

Required Video Upload (Please provide a 3-5 minute video summarizing the recipient, their needs and why we should consider them).

Click or drag a file to this area to upload.