Nomination Form

TEAM HISTORY

Team name

Nickname (if any)

Sport

Year

Name of team contact

Full mailing address

Address

City/Town

Postal Code

Telephone

LEVEL OF COMPETITION AND ACHIEVEMENT

Level (world, international, national, atlantic, maritime, regional, provincial):

Classification (open, invitational, age/ability class masters)

Event(s)

Placing (1st, 2nd)

List any awards, trophies, medals or championships won in addition to those noted above, including recognition accorded to the team by community, provincial or national organizations, i.e. admission to a Hall of Fame, "Team of the Year," etc.

Difficulty in achieving success. Provide information to illustrate the dedication and commitment of team members to achieving success. Include information on the quality of the competition, and the number of other teams involved, as well as the qualification process, and any unusual or difficult circumstances encountered.

Consistency of performance. Provide information on the team's record for the year nominated in all events or competitions in which they participated.

Team characteristics/uniqueness. Provide information on the importance of the team to the community/province; the significance of their achievements, and the contributions made by team members to the sport and the community.

TEAM PERSONNEL

Provide names and addresses for all team members (players/coach/manager/trainers). Do not include team executives, directors, mascots, etc. For deceased members, provide the date and place of death (if known), and the name and address of a next of kin.

Name of person/group submitting the nomination

Full mailing address

Address

City/Town

Postal Code

Telephone

Date

I hereby declare that to the best of my knowledge all of the above information is accurate and correct. Please type name.

NOMINATION DEADLINE

Nominations are accepted year round, however, those submitted prior to June 15 will be considered in that given year. All other submissions will be considered the following year.

Relevant photos and materials are to be delivered, or mailed to:

City of Moncton
Att: Recreation Department
655 Main Street
Moncton, NB
E1C 1E8

506-853-3333
info@moncton.ca