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Down Syndrome Advocacy Awards

Nomination Form

Your Name

Your Email

Your Phone

Category (pick one):

Self-Advocate

Parent/Caregiver

Business

Volunteer

Educator

Write a brief description of why you think this person should receive this award. This information may be shared with the nominee and could be used during the presentation. If you would like to nominate more than one person, you will have to make separate submissions.

I wish to remain anonymous.

Name of Nominee

Email of Nominee

Phone Number of Nominee

Thanks for submitting!

P.O. Box 766

Fort Worth, Texas 76101

682-316-3121

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