Pride of Ampthill Nomination Form
Do you know a young person, who lives or goes to school in Ampthill, who you believe should be nominated for a Pride of Ampthill award?

We are looking for nominations in two age groups; Year 4 - Year 8 and Year 9 - Year 13. Nominations will be considered in the following categories; sporting achievement, art, music and drama, academic/educational achievement and volunteering and community. Nominations can also be made for any young person who has just gone 'above and beyond' in the last 12 months.

The Pride of Ampthill this year is supported jointly by Ampthill Festival and Ampthill Town Council and entries will be judged by the Mayor, Counsellors and members of the AmpGala committee.

There will be prizes for all winners and we very much hope that that winners in the younger age group will lead the Gala Day Parade on Sunday 7th July 2019.

Closing date for entries is Friday 7th June 2019. Winners will be contacted shortly after the closing date.

Email address *
Your name (person making the nomination) *
Your answer
Your phone number *
Your answer
Name of the person you are nominating *
Your answer
Name of the parent or guardian of the person you are nominating *
Your answer
Phone number for the parent or guardian *
Your answer
Email address of the parent or guardian (if not already supplied as nominator)
Your answer
School year category of the person you are nominating *
Age of the person you are nominating *
Category for your nomination *
Your 100 word supporting statement (please note this may be used for publicity purposes) *
Your answer
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