JHF - SMA Medical Supply Gift Store Credit Giveaway
On June 25th, our  Big Hero Jadon will be turning 6 years old!!  Jadon's Hope Foundation would like to recognize our fellow SMA heroes by giving away six (6) $50 store credits to SMA Medical Supply.  Three (3) winners will be selected on May 30th and three (3) winners will be selected on June 6th.  All qualified entries received at time of drawing will be eligible.  Winners will be selected utilizing Random.org.

To qualify, the following requirements must be met:

1.  Must "LIKE" the Jadon's Hope Foundation Facebook page.
2.  Applicant must be affected by SMA.
3.  Only one entry per SMA affected applicant.

By submitting an entry, you hereby give permission to Jadon's Hope Foundation to use pictures of the Applicant on the Jadon's Hope Foundation website and Facebook page should they be selected as a winner.  Winners will be notified by Jadon's Hope Foundation.  Applicant winner will also receive a JHF "Dance in the Rain" tee.

To learn more about Jadon's Hope Foundation, log onto www.jadonshope.org
Sign in to Google to save your progress. Learn more
Your Name (First and Last Name) *
Applicant's Name (First and Last Name) *
Relationship to the Applicant *
Applicant's Address *
Applicant City, State Postal/Zip Code *
Phone Number *
Email Address *
Applicant's Diagnosis *
Applicant's T-shirt Size (Individual affected by SMA, please) *
Adult sizes are Unisex sizing.  Women may prefer to indicate one size smaller.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms