Midlakes Athletic Hall of Fame Team Nomination Form

Required

ELIGIBILITY CRITERIA FOR ATHLETIC TEAM:

Guidelines for selection of an athlete include but are not limited to: (1) Winning a League Title.

(2) Honored by the school, league and/or state for their accomplishments for team academic honors and sportsmanship.

(3) Winning a Sectional Title, State Playoffs, etc.

NOMINATOR Namerequired

First Name

Last Name

NOMINATOR Address

NOMINATOR Email Address

NOMINATOR contact information

NOMINATED TEAM (Year / Sport)

NOMINATED TEAM REPRESENTATIVErequired

First Name

Last Name

TEAM REP Current Addressrequired

TEAM REP Email Addressrequired

TEAM REP Contact Informationrequired

Home, Cell phone

Year/Years Nominated, Team Rosterrequired0 / 1000

Honors and Recognition in Sports at Midlakesrequired0 / 1000

Additional comments0 / 1000

Hit Submit OR Print and Return this nomination, along with any pertinent information BY NOVEMBER 1st. to:
Midlakes Athletic Hall of Fame Committee
1554 NY-488
Clifton Springs, NY 14432 midlakeshalloffame@gmail.com

I agree to the best of my knowledge the information submitted is true and accurate.

Attach or email (midlakeshalloffame@gmail.com) items to be included with the nomination

Attach up to 5 files with a maximum size of 10MB

No file chosen

Photographs, newspaper articles or other publications, awards, etc

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