PRSD Athletic Hall of Fame

Pine-Richland Athletic Hall of Fame Nomination Form

The Pine-Richland Athletic Hall of Fame honors and recognizes those associated with Pine-Richland athletics who have experienced significant accomplishments in their chosen sport or sports.

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* 1. Nominator's First Name:

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* 2. Nominator's Last Name:

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* 3. Nominator's Phone Number:

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* 4. Nominator's Email Address:

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* 5. Nominee's First Name:

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* 6. Nominee's Last Name:

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* 7. Nominee's Street Number & Address:

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* 8. Nominee's City, State & Zip Code:

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* 9. Nominee's Phone Number:

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* 10. Nominee's Email Address:

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* 11. Year Nominee Graduated from High School:

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* 12. Award Category:

Athlete

Administrator

Coach

Community Contributor

Team

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* 13. Sports nominee played in high school if applicable.

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* 14. List PIAA Achievements:

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* 15. List WPIAL Achievements:

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* 16. List Section Achievements:

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* 17. List County Achievements:

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* 18. List Other Award/Achievements:

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* 19. Provide Other Pertinent Information & Accomplishments (Post High School Experiences, Recognition, and/or Contributions to PR Athletics, etc.):

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* 20. Please upload any supporting documents (Photos, Newspaper Articles, etc.):

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

Choose File