Lutheran Family Services of Virginia : Spot a Hero Contest Entry Form

Spot a Hero Contest Entry Form

So you've "Spotted a hero!"

If you are at this page, you have spotted one of our "Be a Hero" ads circulating on Richmond-area buses. Fill out the information below, and your name will be entered in a drawing for a $50 gas card. Every time you spot an ad, you can fill out this form or call our Richmond office at (804) 288-0122. The ads are on buses through May 15. For more information about becoming a foster or adoptive parent, call the number above or email mgallimore@lfsva.org.

Contact Information

First Name *REQUIRED*

Last Name *REQUIRED*

Address *REQUIRED*

City *REQUIRED*

State *REQUIRED*

Zip Code *REQUIRED*

Phone (optional)

E-mail Address *REQUIRED*

Additional Details

Question 1 *REQUIRED*

Please list the date and time you saw the ad.

Question 2 *REQUIRED*

Which ad did you see?

Question 3 *REQUIRED*

Where did you see the ad? (landmark, street name, etc.)

Question 4

Would you like to learn more about LFSVA programs? (Please uncheck the box below if you are not interested.)

Preferred Response