Please copy and paste the form in an email after filling it out, and send to email@example.com
Name (Last, First):
Address (Street #, Street, City, State/Province, Country):
Reason for needing help (Hold on, I am coming!):
Sponsors covering travel expenses (If applicable. 6 Pack can also help find sponsors):
Suggested Superhero feat (towing a plane, flipping cars, pulling ferry boats to shore, lifting bleachers full of people, any thing is possible!):
Last and most importantly, Do you believe in Superheroes?