Your Information
*REQUIRED FIELD
 

How would you like to be called?                          
You may put your first name, an alias, or anonymous.
 

In what city and/or part of town do you live?           
Optional, but our readers would like to know a little about you!

How many children do you have?                            
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Store Information
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Name of School or Business You are Nominating
    
School or Business Address or Location:

School or Business Website Address:

What is kind of school is this?/What does this store sell?/ What type of food does this restaurant serve?

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What would you like other Oregon Moms to know about this school or business? (75 word limit)
 


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