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Minor Impact Application

Community Initiative

Thank you for your interest in Minor Impact, our community initiative providing free balloon décor for birthday celebrations. Please complete the form below. A limited number of celebrations are selected each year.

Nominee Information

(Person Receiving the Birthday Celebration)

    Full Name:

    Age (Turning):

    Birthday Date:

    City:

    County:

    Event Location Type:

    Address Of Event:

    Guardian Information

    (If Applicable)

    Guardian Name:

    Phone Number:

    Email Address:

    Best Method Of Contact:

    Person Submitting The Nomination

    Your Name:

    Relationship To Nominee:

    Phone Number:

    Email Address:

    Celebration Details

    What Type Of Birthday Celebration Is Being Planned?

    Preferred Theme (If Known):

    Preferred Colors (If Known):

    Number Of Guests (Estimate):

    Tell Us Why This Person Should Be Selected:

    Additional Information (Optional):

    May Minor Creations Photograph The Setup For Social Media And Marketing?
    YesNo

    Agreement

    By Submitting This Form, You Understand:

    • Minor Impact is limited and not all applicants will be selected.

    • Decorations provided will be determined by Minor Creations.

    • This initiative provides balloon décor only.