Hartlebury Heroes

Please complete the information about the person being nominated

I nominate:

because they:

Nominee Age (if under 18):

Nominee Address:

Nominee Contact Telephone Number:

Nominee Email (required):

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Please complete the information about the person making the nomination:

Your Name (required):

Your Address (required):

Your Contact Telephone Number:

Your Email (required):

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Check to agree to the terms and conditions of the Hartlebury Heroes competition. By filling out this form you understand that Hartlebury Parish Council will store and use your details to allow us to collate and process your nomination. You have read and agree to how we handle your data as outlined in our Privacy Policy.