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Team Nomination Form

January 18, 2019

OFFICIAL TEAM NOMINATION FORM – February 1, 2019 Deadline

 

 

 

TEAM NAME:                      _______________________________________________________

 

 

_____           Professional League Champion

 

_____           College National Champion

                    

_____           High School State Champion

 

_____           Sectional Champion

 

 

Please use the reverse side of this form to officially nominate a team you feel is worthy of consideration for induction into the Greater Utica Sports Hall of Fame.  This form must be fully completed in order for the team to be considered for induction.  Also, please do NOT include more than (1) ONE additional sheet with this form.  If there is more than (1) ONE sheet, the nominee will NOT be considered for induction.

 

 

 

 

Please mail the completed nomination to:

                                                                                    Greater Utica Sports Hall of Fame

                                                                        Re: Nominating Committee

                                                                        PO Box 4607

                                                                        Utica, New York 13504-4607


 

 

 

 

 

 

 

 

NAME OF TEAM NOMINEE:                  ___________________________________________________

 

TEAM CONTACT PERSON:                     ___________________________________________________

ADDRESS OF CONTACT PERSON:            ___________________________________________________

                                                                        ___________________________________________________

 

PHONE NUMBER OF CONTACT PERSON:            _____________________________________________

 

 

SPORT:                     _____________________________________________________________

 

YEAR:                        __________________

 

TITLE(S):                  _____________________________________________________________

           

                                    _____________________________________________________________

 

                                    _____________________________________________________________

 

RECORD:                  _____________________________________________________________

 

ADDITIONAL INFORMATION: (Use space provided or attach a one-page sheet to Nomination Form – you may use both sides of sheet)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*****Please attach a roster and list of coaches to the Nomination Form*****

 

 

Nominator Name:                             ___________________________________________________

 

Nominator Address:                         ___________________________________________________

 

                                                            ___________________________________________________

 

Nominator Phone Number:             ________________________________________________