Nomination Form

Complete all required fields. Aim for 150-400 words in your essay

Your Info (Nominator)

Your full name *

Your email *

Your Phone *

Your relationship to the nominee

Nominee info (Person You're Nominating)

Nominee full name *

Nominee phone

Nominee email

City *

Street Address *

ZIP *

Number of Dogs *

Anything else we should know? (Gate Code, Yard Notes, Mobility Needs)

Eligibility

✔️ Nominee is a senior (60+) or a person living with a
disability
✔️ Nominee resides within Tidy Tails active service area
✔️ One nomination per person. No purchase necessary. Void where prohibited

Affirm

I affirm the nominee meets the eligibility above

Your short essay (Why does your nominee deserve a free cleanup?) *

Optional Photo of the nominee or their pet (JPG/PNG, max 5MB)

How did you hear about this giveaway?

TERMS

By checking this box, I consent to receive transactional messages related to this nomination (updates, appointment coordination). Message frequency may vary. Message & Data rates may apply. Reply HELP for help or STOP to opt-out

CONDITION

I consent to receive occasional marketing messages from Tidy Tails (offers, updates). Message frequency may vary. Message & Data rates may apply. Reply HELP for help or STOP to opt-out

Protected by spam checks. You may be asked to verify you're human.

By providing your phone number and submitting your information to Tidy Tails Waste Solutions, you expressly agree to receive both text messages (SMS/MMS) and phone calls from us at the number provided. You understand and agree that these communications may be: • Automated • Pre-recorded • Delivered using an artificial or AI-generated voice • Sent using an automatic telephone dialing system (ATDS) These communications may include: • Quotes and service information • Appointment confirmations and reminders • Billing notifications • Account updates • Promotions and special offers • Marketing communications about our services Consent is not a condition of purchase. Message and data rates may apply depending on your mobile carrier. You may opt out of text messages at any time by replying STOP to any message. You may opt out of phone calls or marketing communications by contacting us at: 📞 (404) 902-TIDY 📧 [email protected] For additional details, please review our Privacy Policy and Terms of Service.