Blue KC Sporting Samaritans Nomination Form
Nominator Info
First Name (Nominator) *
Your answer
Last Name (Nominator) *
Your answer
Email Address (Nominator) *
Your answer
Phone Number (Nominator) *
Your answer
Nominee Info
First Name *
Your answer
Last Name *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
Is your nominee a student, teacher, or teacher/coach? *
If they are a student, teacher, or teacher/coach, what is your school name and grade? *
Your answer
Explain in 250 words or less why your nominee should be selected as a "Blue KC Sporting Samaritan" *
Your answer
To the best of your knowledge, is this person recognized as an outstanding student/educator and person of good character by other students/colleagues? *
The nominee is willing to be included in a press release if selected *
The nominee lives within 75 miles of Children’s Mercy Park *
I agree to the official rules (SportingKC.com/BlueKC/rules) *
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