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Online Form - Town of Port Hedland & BHP Community Sports Awards 2023 Nomination Form

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Nomination Category

Please select the category you wish to nominate for.*

Junior Sportswoman of the Year
Junior Sportsman of the Year
Sportsman of the Year
Sportswoman of the Year
Sporting Group of the Year
Umpire/Official of the Year
Coach of the Year
Volunteer of the Year
Service to Sport

Nominator Details (Your Details)

Name*

Phone Number*

Email Address*

Nominee Details - Individual

Name

Date of Birth

Sport / Club Affiliation

Phone Number

Email Address

Nominee Details - Sporting Group

Sporting Group

Contact Person

Contact Person Phone Number

Contact Person Email Address

Nominee Criteria Details - Individual

Please fill in this section if you are nominating for an individual award.

Please ensure that your submission aligns with the the award criteria.

Please click here to view the awards criteria.

Please provide information on the nominee's recent achievements or performance success

Please outline the nominee's contribution to the community through their sport (commitment to their club / association group, mentor, coaching etc.)

Barriers or difficulties the nominee has faced and how they have been overcome

Why do you think they deserve this award?

Supporting documents (optional)

Maximum size of ALL attachments is 976.56 MB

Nominee Criteria Details - Sporting Group

Please fill in this section if you are nominating for a sporting group award.

Please ensure that your submission aligns with the the award criteria.

Please click here to view the awards criteria.

Please outline the sporting group's contribution to the local and wider community

Supporting documents (optional)

Maximum size of ALL attachments is 976.56 MB

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