Nominators InformationName* First Last Email* Phone*Relationship to Nominee Family*Do you wish to remain anonymous if the Mom you nominate is selected?* Yes NoTell us more about the Mom you are nominating!Mom's Name* First Last Mom's Phone Number*Mom's Email* What do you think sets this Mom apart from others and makes her particularly deserving of our "Mom of the Year" award?*Tell us about a time that this Mom has gone above and beyond for her family or others in our community!*How do you believe winning our "Mom of the Year" award would positively impact this Mom's life?*CAPTCHA
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