Swimming Lessons

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Sports Awards Nominations 2010

Please submit this form again if you wish to nominate someone for more than one category.
Categories (Please select)(*)

Please select a category
DETAILS OF NOMINEE
Name(*)

Please enter the nominees name
Date of birth(if 18 or under)(*)

Please enter the nominees date of birth
Address(*)

Please enter the nominees address
Contact Telephone

Please enter the nominees contact number
Email address(*)

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Sport(*)

Please enter the nominees sport
Name & address of Club/School/Organisation (where applicable):(*)

Please enter the nominees organisation and address
DETAILS OF PERSON NOMINATING
Name(*)

Please enter the nominators name
Address(*)

Please enter the nominators address
Contact Telephone(*)

Please enter the nominators contact number
Email address(*)

Please enter the nominators email address
Relationship to Nominee(*)

Please state the nominators relationship to the nominee
Please state the reasons for your nomination on the attached sheet or on a separate piece of paper
Reasons for nomination(*)

Please enter the reasons for the nomination
THE CLOSING DATE FOR NOMINATIONS IS midnight on the 31st August
- Information provided on this form may be used in promotion of the Awards by Abbeycroft Leisure and other supporting partners. However, permission from the nominee will be sought before doing this
- If you have any queries regarding nominations please contact the Abbeycroft On The Move Team on 01284 757482/ 757495 or sports.development@acleisure.com
- Categories will be judged by an independent panel based solely on the information provided in the nomination forms.