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* Your Name

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* Your Email

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* Name of Person you are Nominating

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* Contact info for this Nominee (parent info if under 18)

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* Club or Organization Nominee is associated with?

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* Why are you submitting this individual for an "Of the Month" award? (Please give details and specifics. This helps us better understand and sort through all of the qualified nominees.)

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* I understand that nomination of an individual is not a guarantee of selection.

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* Picture of nominee for use on website and social media

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