All Abilities Award
Awarded to an athlete who has excelled in their chosen field and meets the requirements under the disability in sport criteria
Name of Nominee *
Nominee's Date of Birth *
Nominee"s Address *
Nominee's Contact Number 1 *
Nominee's Contact Number 2
Details of Nominee *
e.g. where nominee plays / competes, length of time in sport, history of achievements etc
Details of Nominee's Most Recent Meritorious Achievement *
Nominators Name *
Relation to Nominee / Position in Organisation *
Nominators Contact Number *
Nominators Email Address *
Disclaimer *
I give permission for Penrith Valley Sports Foundation, it's affiliated sponsors, Penrith City Council, Penrith City Gazette and other local media to use this information and any photography/Video material supplied, if successful, to be used on all their relevant Social Media Pages and Websites.
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