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
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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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