Porirua Sports Awards

Nomination form

NOMINATION FORM

Qualifying Period: 1st September 2023 - 31st August 2024

Nominations Close: 5pm Friday 4 October 2024

Winners announced at Sports Awards Gala Dinner: Wednesday 6 November 2024 at Te Rauparaha Arena

Nominee details

Full name

* required

Maximum 255 characters

0/255

Address

* required

Maximum 255 characters

0/255

Preferred contact number

* required

Maximum 255 characters

0/255

Date of birth

Email address

* required

Sport and (if relevant) club:

* required

Maximum 255 characters

0/255

Award category

* required

Select option

Nominated by (your details)

Full name

* required

Maximum 255 characters

0/255

Relationship to nominee

* required

Maximum 255 characters

0/255

10.

Phone number

* required

Maximum 255 characters

0/255

11.

* required

12.

MAJOR ACHIEVEMENTS DURING QUALIFICATION PERIOD: (Please be specific to the award and list in priority order):

* required

13.

ANY OTHER SPECIFIC POINTS WHICH MAY BE USEFUL TO THE SELECTION PANEL

* required

14.

You may wish to attach scanned or photographed newspaper clippings, website pages etc. Please upload a single file here.

If you wish to send multiple photos or documents, please email events@poriruacity.govt.nz