Please indicate the category, age division
and gender of the nominee:
*Gender
M or F
*Category
Select:
Track and Field
Athlete with a Disability
SELECT ONE FROM
DROP-DOWN LIST
*Age
Division
Select:
Midget (15)
Youth (16-17)
Junior (18-19)
Senior (20+)
Master (35+)
SELECT ONE FROM
DROP-DOWN LIST
Tell us about the person being nominated:
*Nominee
FULL NAME (FIRST & LAST)
*Phone
xxx-xxx-xxxx
HOME PHONE WITH AREA CODE
*Fax
xxx-xxx-xxxx
*Email
*Complete
Mailing Address
STREET, CITY, PROVINCE,
POSTAL CODE
*Club
*Coach
Tell us about yourself, the nominator:
*Nominator
NAME (FIRST & LAST) OF
PERSON MAKING NOMINATION
*Phone
xxx-xxx-xxxx
HOME PHONE WITH AREA CODE
*Fax
xxx-xxx-xxxx
*Email
CONFIRMATION EMAIL WILL BE
SENT TO THIS ADDRESS
*Complete Mailing Address
STREET, CITY, PROVINCE, POSTAL CODE
Who is seconding this nomination?
*Seconded
NAME (FIRST & LAST) OF
PERSON SECONDING NOMINATION
*Phone
xxx-xxx-xxxx
HOME PHONE WITH AREA CODE
*Fax
xxx-xxx-xxxx
*Email
*Complete Mailing
Address
STREET, CITY, PROVINCE, POSTAL CODE
Event(s) nominated in:
T&F Rankings and records links:
BC
Rankings: www.bcathletics.org/main/tf_rank.htm
Records: www.bcathletics.org/main/track_field.htm#records
Canada
Rankings: www.athletics.ca/page.asp?id=65
Records: www.athletics.ca/page.asp?id=66
*First Event
e.g. 1500m, TJ, etc. (ENTER ONE)
*2009 Best Performance
Enter a time, distance or height
*2009 Records set
*
e.g. Senior Canadian Open
*Rankings:
All rankings
that apply must be entered. Use n/a where not applicable.
M15:
BC
Canada
World
Other
Youth:
BC
Canada
World
Other
Junior:
BC
Canada
World
Other
Senior:
BC
Canada
World
Other
Master:
BC
Canada
World
Other
Next section: If
there is no second event, enter n/a for all required fields.
*Second Event
e.g. 1500m, TJ, etc. (ENTER ONE)
*2009 Best Performance
Enter a time, distance or height
*2009 Records set
*
e.g. Senior Canadian Open
Rankings:
All rankings
that apply must be entered.
M15:
BC
Canada
World
Other
Youth:
BC
Canada
World
Other
Junior:
BC
Canada
World
Other
Senior:
BC
Canada
World
Other
Master:
BC
Canada
World
Other
Next section: If
there is no third event, enter n/a for all required fields.
*Third Event
e.g. 1500m, TJ, etc. (ENTER ONE)
*2009
Best Performance
Enter a time, distance or
height
*2009 Records set
*
e.g. Senior Canadian Open
Rankings:
All rankings
that apply must be entered.
M15:
BC
Canada
World
Other
Youth:
BC
Canada
World
Other
Junior:
BC
Canada
World
Other
Senior:
BC
Canada
World
Other
Master:
BC
Canada
World
Other
2009 Team Selection:
List all teams
the nominee was selected to in 2009:
Provincial Teams
Canadian Teams
Other Teams
*Contributions and Recognitions
appropriate to the award:
Please check the form to make sure all required fields are filled in.
Use n/a if not applicable, otherwise you will get a missing data error message.
Click Submit button only once.
Incomplete forms will be deleted. Fill in one form for each nominee.
Nominations deadline is
October 15, 2009.