In memory of Jewel Emma
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Our Story
Donate & Shop
Connect
Photos
Brick @ Stupa & Peace Park
Gems4Jewel
Memorial
Jewel’s Mile
Quilt
Child Nomination
0
Our Story
Donate & Shop
Connect
Photos
Brick @ Stupa & Peace Park
Gems4Jewel
Memorial
Jewel’s Mile
Quilt
Child Nomination
Child Nomination
Just like any child - Jewel was smart, fun and FULL of energy... she was always ready for an adventure! The Jewel Emma Foundation was born to allow other children to have their own adventures. If you are wanting to nominate a family with several children - please list all their names and ages in the appropriate fields. If you are wanting to nominate more than one child from different families, please fill out a separate form for each child.
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Your Name:
*
First
Last
Email:
*
Phone number:
Name & age of child:
*
Reason for nomination:
*
Parents name & contact info:
*
What would this child benefit from? (can choose more than one - but most likely will only be gifted one)
*
Clothes shopping
Gymnastics Class
Dance Class
Swim Class
Cottonwood Recreation Membership
AYSO Soccer (Fall 2022)
Volleyball Camp (6/6-6/10)
Basketball Camp (6/6-6/10)
Other idea:
Comments, questions and/or concerns:
Submit