Hall of Fame Nomination

Email address *

Address *

Phone Number: *

Nominated By: *

Nominators Phone Number: *

Nominators Email: *

Please pick one: *

Coach Athlete Team Other

Nominee's Sport (s): *

Nominee's Records, Recognitions and Awards: *

School Attended after Valley College: *

Was the Nominee an Olympic Athlete *

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Was the Nominee a Professional Athlete: *

Yes No

Is the Nominee Alive: *

Yes No

Any Additional Comments You Would Like the Hall of Fame Committee to Know: *

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