Midlakes Athletic Hall of Fame Coach / Honorary Contributor Nomination Form

Required

Guidelines for selection of a coach include but are not limited to:
(1) Coached for at least 10 years in their sport
(2) Recognized by the school, league and/or state for their accomplishments (3)High character and morals

Guidelines for selection of honorary individuals include but are not limited to: (1) Long time loyal fan/supporter of Midlakes Athletics(2) Someone who has gone beyond the ordinary in supporting the athletes by volunteering on booster clubs, volunteer coach, etc.

NOMINATOR Namerequired

First Name

Last Name

NOMINATOR Address

NOMINATOR Email Address

NOMINATOR Contact Information

Additional contact info, cell/home/work number, etc

NOMINEE Namerequired

First Name

Last Name

NOMINEE Current Addressrequired

NOMINEE Email Addressrequired

NOMINEE Contact Informationrequired

Home, Cell phone

Participated in Midlakes as a...required

Sports Involved withrequired

Years Participatingrequired

Honors and Recognition in Sports at Midlakesrequired0 / 1000

College Sport Participation0 / 1000

Professional Achievements0 / 1000

Community involvement

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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