GIVE : GROW : GAIN PROJECT - NOMINATION FORM

Please fill out the Nomination form by 12 midnight on 31st December 2020. Terms and conditions apply (please see form below)

please complete AND RETURN

Family Name

Contact Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Q1. How has Covid-19 effected this family?

Please fill in your answer below.

Q2. Why are you nominating this family / your family?

Please fill in your answer below.

Q3 How will the family benefit from the GIVE : GROW : GAIN project?

Please fill in your answer below.

Terms & Conditions

5 full days of childcare for the price of 1 offered from January 2021 – December 2021. (5 days with 30 hours funding or 3 days without funding must include a Monday.) This project will run from January 2021 – December 2021, we ask that you terminate this agreement early if you no longer depend on this project, so we can offer this place to another family. Parent / Family agree to Social Media coverage including monthly updates via a video diary / web series and regular Social Media posts. All nominations to be received by 12 midnight on 31st December 2020, nominations after this date will not be put forward to the panel. A short list of 3 finalist will be put forward to the selection panel for interviews, with the winner being announced w/c 11th January 2021. Only one child ( aged 3 months – 5 years) can benefit from this project. All Owl & Bear nursery terms and conditions apply to this placement.

I/We agree to abide by the Terms & Conditions stated within this nomination form for the GIVE : GROW : GAIN project.

Please tick the box below to agree to terms & conditions above.

Agree (please tick)