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

Maximum 255 characters

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Address

Maximum 255 characters

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Preferred contact number

Maximum 255 characters

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Date of birth

Email address

Sport and (if relevant) club:

Maximum 255 characters

0/255

Award category

Select option

Nominated by (your details)

Full name

Maximum 255 characters

0/255

Relationship to nominee

Maximum 255 characters

0/255

10.

Phone number

Maximum 255 characters

0/255

11.

12.

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

13.

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

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