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Warrior Wednesday Award Nomination Form
Submitted form will be received by Mr. Lipke (Asst. Principal/Athletic Director)and Mrs. Bergeron (Asst. Principal)
Name of person being nominated
Nominee is a:
Please check which Warrior characteristic the person displayed.
Please explain what this person did and why they deserve a Warrior Wednesday Award
Name of person filling out this form (We will follow up with you to verify your information)
Do you wish to remain anonymous when the award is announced?
Your role / position
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