Fishers 2,000 Acts of Kindness Resident Submission Form

Use the form below to submit an Act of Kindness you performed or nominate someone who performed an Act of Kindness and to receive a gift card to a local Fishers restaurant. Individuals must live in Fishers in order to be eligible for the gift card.

I'm submitting an Act of Kindness for:

For me/my family

For someone else

I am 18 years or older.*

First Name*

If you are nominating someone, please enter their name.

Last Name*

If you are nominating someone, please enter their name

Email*

Street Address*

The mailing address must be within Fishers' jurisdiction. Please provide the mailing address to send the gift card.

City*

State*

Zip Code*

Twitter Handle

Instagram Handle

Please describe the Act of Kindness.*

Please attach a photo of the Act of Kindness. (Optional)

Drag and drop files here or

I give the City of Fishers permission to use my submitted photo for promotional purposes.*

Select

I acknowledge that by checking this box, I give permission to the City of Fishers to use the Act of Kindness for promotional purposes.*

Photo

Send me a copy of my responses

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