Z103 Christmas Miracle

It’s our favorite time of the year and we’re pleased to announce the return of the Z103 Christmas Miracle, powered by Brent Gordon Law, Alpine Jewelers, and Leavitt Women’s Healthcare.

We’re making the holiday dreams of one East Idaho family come true, but we need your help! We’re looking for the perfect family deserving of an extra special Christmas. Do you know a family doing the best they can with what they have but they could truly benefit from a Z103 sized pile of extra holiday cheer?

Fill out this form to submit your nomination:

Your Information
Please list some contact information about yourself below.
Your Name*
First Last
Your Address*
Street Address City State ZIP Code
Your Phone Number*
Your Email*
Family You Are Nominating
Tell us a little about the family you are nominating.
Nominee's Name*
First Last
Nominee's Address*
Street Address City State ZIP Code
Nominee's Phone Number*
How do you know the nominee?*
Why you're nominating this person?*
Be very specific and give as many details as you can. We anticipate getting hundreds of nominations, so explain why yours is extra special.
What does this person need?*
Please list specific needs of the nominee.
Reference
List at least one person outside of nominee's family who can tell us more about the nominee's circumstances.
Reference*
First Last
Reference Phone Number*
Reference Email*
What is the relation of the reference to the nominee?*
Additional Reference
First Last
Additional Reference Phone Number
Additional Reference Email
I have read, acknowledge, and understand the rules and terms of the Z103 Christmas Miracle contest as noted above, as well as the General Contest Rules linked above.*
- Yes, I understand.

Special Contest Rules

General Contest Rules

It’s our favorite time of the year and we’re pleased to announce the return of the Z103 Christmas Miracle, powered by Brent Gordon Law, Alpine Jewelers, and Leavitt Women’s Healthcare.

Your Information

Family You Are Nominating

Reference