Nomination Application

Print & Mail to:

Gold Beach High School Athletic Hall of Fame
29516 Ellensburg Avenue
Gold Beach, OR 97444
 

Nominee Information (To be eligible for the induction, it must be 5 years since a nominee's graduation)

1. Name of Nominee:
 
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2. Address/Phone/Email:
 
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3. Year of High School Graduation: ______________ School_______________________________

4. This Nomination is for distinguished achievement as a(n) (Circle all that apply):

              Athlete               Coach               Contributor/Meritorious

5. Sport(s):
 
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6. Athletic/Coaching Achievements/Honors (such as All-State, All-League, varsity letters won, captain, school records, all sports played. Please attach news clippings or other materials stating such honors):
 
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7. Additional Information:
 
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8. Submitted by (include relationship to nominee as well as address, phone, email):
 
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