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17 NOVEMBER 2023
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Goldfields Sports Star of the Year
Nomination Form
Category of nomination:
Nominee's name:
Nominee's contact number:
Name of nominating person:
Date of birth:
Nominee's email address:
Nominating person's email address:
Contact number of nominating person:
Position of which the nominating person is within a sporting club:
Detail the nominees or clubs most significant performances and achievements from1 October 2022 to 30 September 2023 (maximum 3). Include the dates, competition, level of representation, event(s) contested, number of participants and achievements.
Detail any involvement in club activities. Include other club/association activities. Area's such as committee, coaching, officiating or other information can be included.
Include two images of nominee with nomination.
Upload image
Submit nomination
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