To Next Gen Foundation

Submission Form

Fill out the form to nominate a team, person, or group of kids
Your Information
Your Name

First Name Last Name
Your Organization
Your E-mail
example@example.com
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Your Number

Area Code Phone Number
Who Are You Nominating
The Athlete or Organization your submitting
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Email
example@example.com
Mobile Number

Area Code Phone Number
Proximity of age

7-10 11-13 14-16 16+
Gender
How do you know this person/group?
Are they receiving any other type of resources?

No Yes
Why do you feel they are deserving of the assistance?
In your opinion what resources do they need help with?
Should be Empty: