Uvanni Motors Student Athlete Nomination Form

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* 1. Email

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* 2. Your Name

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* 3. Athlete’s Full Name

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* 4. Athlete’s Age & Grade

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* 5. School / Team Name

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* 6. Nominee's Parent/Guardian Contact Info (phone + email). If you do not have this information, provide the coach's Contact Info (phone + email).

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* 7. School / Team Name

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* 8. Nominator’s Name & Relationship to Athlete

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* 9. What makes this student athlete stand out on their team or in their sport?

What qualities make them a role model in the community or school?

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* 10. I agree to be featured on Social Media

Yes

No

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* 11. Please upload a photo of yourself

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

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* 12. Contact Information

Name

Email Address

Phone Number