Team Nomination Form - Halton Hills Sports Hall of Fame

Team Name

Sport

Year(s)

Team Representative (Player or Coach)

First

Last

Street Address

City

Province

Postal Code

Confirm Email

Phone Number

Team Members

Accomplishments

Please list the Year, league / level (National, Provincial, Local) and achievement (Awards, Records, Championships). Each accomplishment should go on a new line.

Other Information

Expand on the accomplishments listed above, significant/pivotal moments, game scores or details, context or significance of achievements. If this includes supporting documentation, including letters of reference, photographs, newspaper clippings, links to online stories or other supporting documents, they can be emailed to herb_garbutt@hhsm.ca.

Individual Player Accomplishments

Accomplishments of players, either in the season for the teams are nominated or after the season that they are nominated for, Including individual awards, records, statistics or accomplishments.

Nominator Name

First

Last

Street Address

City

Province

Team Address Number

Postal Code

Confirm Email

Phone Number

Reference Name

First

Last

Please provide at least one reference in order to assist the selection committee in compiling information and/or assessing the nominee.

Confirm Email

Phone Number

Agreement

I confirm this submission

In checking the box above, you agree and confirm that all information submitted above is accurate to the best of your knowledge.