™
"Do The Right Thing"
E-mail Nomination Form

Each month, Do The Right Thing™ honors children in our community who distinguish themselves by their behavior. Nominees have been witnessed demonstrating one or more positive character traits. All nominees are considered winners. Each nominated child receives a Do The Right Thing™ T-shirt and a certificate of recognition signed by area law enforcement officials.
In addition, Do The Right Thing™ selects ten of the children nominated to receive special recognition at a monthly ceremony held at police headquarters, where proud parents, teachers, law enforcement officials, business leaders, the media and other program sponsors celebrate the good things kids do. If you know of a child whose accomplishments, attitudes or efforts should be recognized, complete this form and e-mail it to us.
Please complete this form for EACH student you are nominating. Do not list more than one nominee per form.
COMPLETE ALL FIELDS, THEN CLICK SUBMIT AT THE BOTTOM.

NAME OF CHILD:
FIRST NAME
LAST NAME

NAME OF CHILD'S PARENT OR GUARDIAN:
FIRST NAME
LAST NAME

CHILD'S FAMILY STREET ADDRESS:

CITY:
STATE:
ZIP CODE:

AREA CODE :
TELEPHONE NUMBER :

CHILD'S AGE :
GRADE IN SCHOOL :
T-SHIRT SIZE :

SCHOOL NAME :

SCHOOL STREET ADDRESS:

CITY:
STATE:
ZIP CODE:
 
SCHOOL DIST.:
 
SCHOOL COUNTY:
SCHOOL
CONTACT NAME :
SCHOOL
AREA CODE :
SCHOOL
TELEPHONE NUMBER :
SCHOOL E-MAIL (optional) :

YOUR NAME:

YOUR E-MAIL ADDRESS:

YOUR TELEPHONE NUMBER :
AREA CODE:
TELEPHONE:

Explain why you feel this child should be honored:
(Include the date, time and place of events or incidents.)