NOMINATION FORM: (2 pages will download)
Nominee
name:_____________________________________________________________
Address:___________________________________________________________________________________________
Phone:__________________ Cel:___________________ E-mail:_________________________
Category: (______Athlete)
(______Coach)
(______Builder) (______Team)
Sport(s):________________________________________________________
List Accomplishments in this area: (Attach supporting
documents)
How did you hear about the Burnaby Sports Hall of Fame?
___________________________
Nominated
by:____________________________________________________
Address:__________________________________________________________________
_________________________________________________________________________
Phone:_____________________________
Cel:_________________________ E-mail:____________________________
Signature:____________________________________ Date:_________________________
Send Nomination Form to:
Nomination, Carol Chard
Burnaby Parks, Recreation and Cultural Services,
#101 - 4946 Canada Way,
Burnaby, B. C. V5G 4H7
BSHoF