2021 Family Caregiver Contest

In honor of National Family Caregivers Month, join Advocates as we extend our gratitude to family caregivers who provide invaluable support and advocacy for their loved ones. Nominate a caregiver for the chance to win a special relaxation package. If you are a family caregiver, you may nominate yourself. In fact, we encourage it! Winners will receive gift cards and other goodies. Nominations are due Tuesday, November 30. Ten caregivers will be selected at random on Wednesday, December 1 and notified by email. Eligibility: To be eligible for one of the prizes, nominees must be 18 years or older at the time of the drawing. They must be caregivers who support a loved one at home. View full contest info here: www.Advocates.org/FamilyCaregiverGiveaway2021

Your Information

1. First Name*

2. Last Name*

3. Email*

4. Phone*

5. Relationship to nominee*

Nominee Information

1. Nominee First Name*

2. Nominee Last Name*

3. Nominee Email*

They will only receive an email if they win.

4. Nominee Phone

They will only receive a phone call if they win.

Town & City of Residence*

5. Does the nominee care for a family member at home?*

Yes

6. Age of the family member in need of care:*

7. Briefly describe the nominee's role as a caregiver and what this caregiver appreciation award would mean to them:*

Photo Upload

If you would like to submit a photograph of the nominated caregiver, please do so here. Submitting a photo is optional, but will give you an extra entry into the contest.

Drag and drop files here or

7a. May we share this information on social media and/or email?*

We will keep your information and the nominee information anonymous.

Yes

8. How did you hear about this contest?

Send me a copy of my responses

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