Avalanche for a Day

Avalanche for a Day
Nominator's Information:

This registration may only be completed by an adult who is eighteen (18) years of age or older, and has a personal relationship with the minor nominated on the next page of this registration.
Av for a Day

Nominator's Information
Nominated By:

First NameLast Name
Relationship to nominee:
Email Address:
example@example.com
Phone Number:
Please enter a valid phone numberFormat: (000) 000-0000.
*Acknowledgment and Certification*
Nominators Signature

Use your mouse or finger to draw your signature above.

Nominee Information:
Contact
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState

ZIP Code
Nominee's Age
Selected Av for a Day candidates must be under 18 years old on the date of their designated Av for a Day experience.
What is your nominee’s favorite sport and team?
The Av for a Day program is intended to recognize children who are currently facing or have recently overcome a significant medical or other life challenge.
What challenges (medical or otherwise) has your nominee faced (if any)?
What challenges (medical or otherwise) has your nominee faced (if any)?
Please tell us about the nominee's health journey.
Please share what you feel is appropriate about the health challenges the nominee has faced and where they are in their journey today. Include any information that may help us better understand their experience.
Please tell us about the challenge(s) the nominee has faced.
Please share more specifics and how the experience has affected the nominee.
How has the nominee responded to the challenges they have faced?*
How has the nominee responded to this experience?
Please provide specific examples that demonstrate the nominee's strength, resilience, positive attitude, perseverance, or ability to inspire others.
Additional Comments:

Avalanche Fandom & Hockey Participation

We’d like to learn more about the nominee’s connection to the Avalanche and hockey. Playing hockey or attending Avalanche games is not required, and will have no impact on the nominee’s consideration or eligibility for Av for a Day. The remaining questions are intended to help us better understand the nominee’s interests and what would make the experience especially meaningful and exciting for them if selected.
How would you describe the nominee's Avalanche fandom?
Tell us about the nominee's relationship with the Colorado Avalanche.
What does the Avalanche mean to the nominee? Please share any details that help us understand their interest in the team, players, organization, etc.
Who are the nominee’s favorite Colorado Avalanche personalities, and why?
Please identify the nominee’s favorite current Avalanche players, listed in order of preference, and explain what makes each player special to them. You may also include favorite Avalanche coaches, Altitude TV/Radio personalities, Avalanche alumni, or other beloved Avalanche figures, such as Bernie the Mascot or Ice Patrol. Please describe why the nominee admires or connects with each individual and how they have contributed to the nominee’s passion for the Avalanche.
What would the nominee be most excited about during an Av for a Day experience?
Does the nominee currently participate in hockey?
Organization & team name/age:
Please describe:

How does the nominee make a positive difference in the lives of others?
Please provide specific examples of how the nominee demonstrates kindness, leadership, empathy, responsibility, or a desire to help others.
Tell us about the nominee's involvement at school, in their community, or with non-profit organizations.
How does the nominee demonstrate dedication to academics or learning? Feel free to share a specific example, particularly if their academic journey has been affected by their medical or other life challenges.
Examples of Good Behavior/Citizenship (ex: volunteer activities):
What would make an Av for a Day experience meaningful for this child in particular?
Is there anything else you'd like us to know about this child when reviewing the nomination?

Optional Photos

We'd love to get to know the nominee beyond their nomination! Please share 2–4 photos of the nominee that show their personality, interests, hobbies, or Avalanche fandom. Photos do not need to be professional - we want to see the child being themselves!

Suggested examples:
- A recent photo of the nominee (ex: school photo)
- A photo of them doing something they love
- A photo showing their personality
- An Avalanche/hockey-related photo of the nominee, if applicable
Photos are optional. Submissions without photos will be given equal opportunity for selection.
Image Upload
Image Upload
Image Upload
Image Upload
By submitting this photo, I acknowledge and agree that (i) the photo does not infringe upon any third party's proprietary or other rights, including privacy, publicity, and intellectual property rights, and (ii) Kroenke Sports & Entertainment LLC has the right to use, publish, display, and or distribute the photo in connection with the Av for a Day program with no compensation to me.

Does the nominee’s family have Avalanche season tickets or a partial ticket plan?
This information is collected for planning purposes only and will not affect the nominee’s consideration for Av for a Day. Having Avalanche season tickets or a partial ticket plan is not required. We recognize that not every fan has the opportunity to attend Avalanche games, and we are excited to make the experience special for each nominee.
What plan type does the nominee's family have?
Please list seat locations if possible:
Has the nominee previously received a special experience from another sports team or wish-granting organization (e.g., Make-A-Wish, Dream on 3)?
Name of granting organization
Description of experience
Month/year it occurred
Is the nominee currently scheduled or being considered to receive a unique experience from another sports team or wish-granting organization?
If yes, please describe:
Should be Empty:

Av for a Day