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