PYGD Holiday

DEADLINE: DECEMBER 14th 2021 - By Midnight
Eligible Individuals:

had an Attitude adjustment
have improved their grades
are leading by example with your siblings
had no more run-ins with the law
separated from negative peer involvement
are self-motivated to change
Males 16 to 21 years old
are willing to write their testimony
are willing to be interviewed by our staff

Christmas Make-A-Wish Adoption Form

Nomination form for the 12 Kings Reinvented Christmas Make-A-Wish Adoption Program

Nominator Name*
Nominator Email*
Nominator Phone Number*
Nominee Name*
Nominee Birthdate*
MM slash DD slash YYYY
Nominee Email*
Nominee Phone Number*
Nominee Address*
Street Address Address Line 2 City State ZIP Code
Nominee Testimonial*
Tell us about the nominee's story.
3 References*
Name, Title, Email, Phone and Relationship
Wish List*

PYGD Christmas Flyer 2021