Pittsville Athlete/Coach or Contributor/Team Hall of Fame Nomination Form

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Athlete Nomination Form
Please fill out the below information for the person or team you are nominating. Membership Criteria: Must be a graduate of Pittsville High School 10 or more years ago. Earned at least one varsity letter at Pittsville High School.

Email *

Personal History

Please fill out the Personal History of the Nominated Athlete

Name of Athlete, Coach/Contributor, Team

Address of Nominee: Street/City/State/Zip (if known)

Phone Number and E-Mail of Nominee (if known)

Years Attended Pittsville High School, or Associated with Pittsville, Team Year

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