Please select the city/area in which you would like nominee to participate. Note: Nominee must live in that particular city/area.
Please list first & last name of nominee.
Example: Family Member Teacher, Therapist, Doctor, Social Worker
Please list your phone number in case we can't get in touch with the parents.
Please list your email address in case we cannot get in touch with the parents.
Please list the names of both parents or guardians. NOTE: If single parent, then please list the name of the custodial parent.
Tell us about your Superstar! Bio must include information regarding nominee’s condition, hardships and where Nominee excels (e.g. - academics, athletics, the arts, community service, etc.) and notable personal achievements. NOTE: Superstars are selected based upon their personal achievements, who exhibit their ability to reach far beyond their adversities. So please be sure to let us know their greatest success stories!