Nominate a School/ Church — Positive Circle

Name

First Name

Last Name

Email

Phone

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Name of School/Organization/ Ministry

Which Sensory Tools are Needed?

Number of Children in Need

Are you a non-profit 501(c)(3) organization? Please complete this section. If not, skip to the next section

(Organization Name, Membership or Audience, Mission and Relevance to Special Needs)

Is this for an event? (4-6 weeks advance notice required). Please complete this section. If not, skip to next section.

(Event Name, Date, Sponsored By, the Goal, Number of Attendees and Location, Relevance to Special Needs)

How Did You Hear About Positive Circle?