Director's Invitational Nomination Form
Event Timing: August 7th-11th, 2016
Event Address: 158 Casowasco Dr. Moravia, NY 13118
Contact us at (315) 364-8756 or info@casowasco.org
NOMINEE INFORMATION
Nominee's Name *
Your answer
Nominee's Age *
Nominee's Address *
Your answer
Nominee's Phone Number *
Your answer
Nominee's Parent/Guardian Names *
Your answer
In what ways has this person demonstrated leadership or potential? *
Your answer
What are this person's greatest strengths? *
Your answer
SPONSOR INFORMATION
Sponsor's Name *
Your answer
Sponsor's E-mail Address *
Your answer
Sponsor's Phone Number *
Your answer
Sponsor's Organization *
Your answer
I understand that the sponsor organization is responsible for the registration fee. *
Required
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