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2011 AMAZON SPORTS STAR AWARDS

NOMINATION FORM

NOMINEE

Category:
Age during 2011:
Name:
Address:
Town/City:
Post Code:
Phone [BH]:
Phone [AH]:
Sporting Club or Organisation:
NOMINATOR
Name:
Address:
Town/City:
Post Code:
Phone [BH]:
Phone [AH]:
Sporting Club or Organisation:
Email address: (required field)


ACHIEVEMENTS FOR 2011 (JAN 1 - DEC 31 2011)

CONDITIONS OF ENTRY
  • Volunteer - Career information required.
  • All other sections top 4 perfomances for 2011 only. Age categories must apply for 2011.
  • Please indicate competition qualifying and selection process.
  • Junior Male and Female individual criteria - From 12 years up to and including 18.
  • Junior Team Category - Team aged 13 years and under.
  • Intermediate Team Category - Secondary school age up to and including 18.
  • Club Development - focus is on new development activities during 2011.
  • Disability Individual Achievement/Disability Club Development - primary focus is on inclusion and access.
  • Team category - greater than 50% of members must have been from the South West Region.
  • Achievement Awards - recognises achievements not included in any other categories.
  • Individual category nominees must have - resided/attended a school/actively been competing member of a club - in the South West for the majority of the 2011 year.

    Please provide as much detailed information for top 4 perfomances as possible eg:

  • The event competed in
  • The standard of the event (local, regional, state, national, international)
  • Category/Class competed in
  • Placing in the event
  • Any other relevant information about top 4 performances.

    Performance 1

    Performance 2

    Performance 3

    Performance 4