Buena Regional
                 Athletic
             Hall of Fame
 
Nominatin Form

Buena Regional Athletic Hall of Fame Nomination Form


Name of Nominee:       ______________________________________________________

 

Graduation Year:          ______________________________________________________

 

Sport(s) Played by Nominee:    ________________________________________________

 

Address of Nominee:    ______________________________________________________

 

________________________________________________________________________

 

Phone Number of Nominee:      ________________________________________________

 

E-mail of Nominee:       ______________________________________________________

 

Name of Person Nominating:    ________________________________________________

 

Address of Person Nominating: __________________________________________

 

________________________________________________________________________

 

Phone number of Person Nominating:    ____________________________________

 

E-mail of Person Nominating:    __________________________________________

 

 

 

All nomination forms must be postmarked by July 1, 2019 for consideration of induction into the Class of 2019.  Nomination forms must be mailed to the Buena Regional Athletic Hall of Fame address listed in "Contact Us".  Any questions can be answered by calling the telephone number or contacting the e-mail address listed  in "Contact Us.".

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