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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
Your answer
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
Your answer
Name of person filling out this form (We will follow up with you to verify your information)
Your answer
Do you wish to remain anonymous when the award is announced?
Your role / position
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