NOMINATE A COMMUNITY SUPERHERO – RPCS CAMP

Community SuperHero Nomination Form

Name of Community SuperHero

Name of Parent/Guardian

Contact Number or Email for Parent/Guardian

SuperHero’s School

SuperHero’s Grade

Name of Nominator

Email Address of Nominator

Best Phone Number to Reach Nominator

How Do You Know the SuperHero?

What are the SuperHero’s Supervalues?

Kindness

Patience

Creativity

Good Listening

Compassion

Team Work

Friendliness

Honesty

Courage

Community

Generosity

Empathy

Respect

Service

Gratitude

Curiosity

Other

Tell us about your Community SuperHero and Why They Should Come to SuperHero Camp?

Thanks for Nominating!

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