Nomination Form

This form should be completed by a representative of the athletic organization in which the child(ren) participates. If you are not a representative, please contact the child’s coach to get proper organizational contact information and provide them a link to this site to submit nominations. The organization representative should submit nominations from each team in their organization at one time.

  • We want to reach as many needy children as possible
  • We will not accept individual orders, groups of shoes will be shipped to one athletic program/organization location to take advantage of bulk shipping rates
  • The need of an organization or child may be independently verified in order to maintain the integrity of the program

To nominate your team, please fill out following information:

* indicates required information
About Yourself
  1. *
  2. *
  3. *
About Your Organization
  1. *
  2. *
  3. *
Tell us about your organization

cleats for kids

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1-877-MPCT-CRD
(877-672-8273)

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