Awards Claim Form - The Side-Out Foundation

Claim Your Banner

Submit the form below entirely to claim.

Organizer Name*
Please do NOT put your school/organization's name here. This should be the name of the person who is filling out the form so that we can contact you regarding your awards.
Organizer E-mail*
Please do NOT put your school/organization's email here. This should be the email of the person who is filling out the form so that we can contact you regarding your awards.
Amount Raised*
This total should reflect your active campaign. Do not include $ only include numerical value (ie. 1500).

School Name, Club Name, or Group Name*
This is the name associated with your campaign (i.e. Monacan High School)
Where would you like your awards shipped to?*
It is recommended you ship to a residence, but not required.
Shipping Contact*
First Last
Shipping School or Business Name*
Example: Monacan High School (for shipping purposes)
Attention:*
Please put the name of the person at the school or business you would like to deliver to.
First Last
Shipping Address*
Street Address Address Line 2 City State ZIP Code