Township of Terrace Bay Sports Wall of Fame: Athlete Nomination Form
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Name of Nominee
Current (or last known) Address of Athlete
Address/Town/Postal Code
Nominee Email
Athlete Nominee Phone Number
Athlete Alternative Phone Number
Athlete's Date of Birth
Athlete's Place of Birth
Years Residing in Terrace Bay
Please provide the year range nominee lived in Terrace Bay i.e 1965-2016
Is the Athlete Deceased?
Clear selection
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