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, 2021 for consideration of induction into the Class of 2021.  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.".