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​Who stood by you through your darkest

moments, was there for you and continues to;

~empower you when you don't feel strong,

~support you through the good and the bad times, and

~encourage you as you build your life in recovery? 

​

Please tell us about them!  ​

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Recovery Super-Hero
Nomination Form

1.A. Tell us about your Recovery SuperHero (The Nominee)

1.B. How would you like your Recovery Super-Hero's Name to be personalized on their Certificate? (Choose all options that apply.)

For Notification & Consent Purposes ONLY

For Notification & Consent Purposes ONLY

4. Tell us about your Recovery Super-Hero!

Be as descriptive as you can - this individual is an inspiration and is setting an example for other friends/family/community members who want to support 'one of us' (people who are living in recovery).

PLEASE DO NOT SHARE A PHOTO THAT YOU DO NOT WISH TO SHARE ON THE COMMUNITY WALL OF FAME. *By uploading this photo you hereby agree to allow PEER Wellness Center to share this photo on "The Recovery Wall of Fame" webpage and any associated promotional and social media platforms.

Please insert the photo that I have uploaded.

Generic SuperHero #1

Generic SuperHero #2

Generic SuperHero #3

Generic SuperHero #4

Generic SuperHero #5

Generic SuperHero #6

Generic SuperHero #7

5.What advice would offer to someone who may still be struggling and/or the friends/family/employers/community members who want to help and support them?

6.-8. Tell us about you!

For Notification purposes ONLY!

For Notification purposes ONLY!

9. How would you like this award to be presented to your SuperHero?

Please choose 1 option below:
I would like to personally present this award at the Recovery Super-Hero Awards Event.
I would like the Master of Ceremonies to present this award at the Recovery Super-Hero Awards Event.
I would rather present this award to my Recovery Super-Hero PRIVATELY.
Other

The Recovery SuperHeroes Awards Event will be held on 10/01/2026 from 4:00PM-5:30PM at the BOISE ALANO CLUB!

10. (Last question... we promise) But A VERY IMPORTANT one!

We absolutely respect your anonymity and right to privacy. We will NEVER share any of your personal and federally protected information without your express and written permission. EVER. (Please choose one option below.)
Yes - you have my permission to publically share my FULL NAME. on the Recovery Wall Of Fame webpage.
Yes - you have my permission to publically share my FIRST NAME only on the Recovery Wall Of Fame webpage.
Yes - you have my permission to publically share my INITIALS only on the Recovery Wall Of Fame webpage.
No. PLEASE DO NOT PUBLICALLY SHARE MY NAME, MY INITIALS OR ANY OTHER PERSONALLY IDENTIFYING INFORMATION ON THE RECOVERY WALL OF FAME WEBPAGE.

Do you know your rights? We do! Learn more by reviewing the all new Fact Sheet 42 CFR Part 2 Final Rule  regarding a person's Confidentiality Protections that address concerns that discrimination and fear of prosecution deter people from entering treatment for Substance Use Disorder (SUD) (updated 01/30/2026) from the US Department of Health & Human Services.

NO PUBLIC DISCLOSURE IS REQUIRED IN ORDER TO PARTICIPATE IN THE "RECOVERY SUPER-HERO" EVENT. Every individual who is nominated and every individual who submits the nomination are eligible to receive their Recognition Award and participatory gifts of appreciation.


PLEASE NOTE: Any submissions received after 12:59PM on Sunday, 9/27/26, MAY NOT BE PRINTED in time for the Award's Ceremony - but your SuperHero will still be recognized and will receive their Award Certificate as soon as possible!

The "Recovery Super-Hero" Awards Event
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