Community Kicks Nomination Form

Thank you for you interest in Fleet Feet's Community Kicks Program. If you or someone you know is in need of running and walking footwear, please fill out and submit the form below. We try our best to help as many people in our community as possible.

First Name*

Last Name*

Email Address*

Phone Number*

Please tell us who you are nominating and why. *

Please provide shoe size(s) and widths (if you have them). *

Nominee Contact Information (please include phone number and/or email)*