All Abilities Award

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All Abilities Award

Awarded to an athlete who has excelled in their chosen field and meets the requirements under the disability in sport criteria 2022 to 2023

Name of Nominee *

Nominee's Date of Birth *

Nominee"s Address *

Nominee's Contact Number 1 *

Nominee's Contact Number 2

Details of Nominee *

e.g. where nominee plays / competes, length of time in sport, history of achievements etc

Details of Nominee's Most Recent Meritorious Achievement *

Nominators Name *

Relation to Nominee / Position in Organisation *

Nominators Contact Number *

Nominators Email Address *

Disclaimer *

I give permission for Penrith Valley Sports Foundation, it's affiliated sponsors, Penrith City Council, Penrith City Gazette and other local media to use this information and any photography/Video material supplied, if successful, to be used on all their relevant Social Media Pages and Websites.

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