Online Nomination Form

A: Nominee

B: Classification B: Classification Curler Team Curler/Builder Buider

C: Nominee's Club

Nominee's Street Address

Nominee's City/Province

Nominee's Postal Code

Nominee's Email Address

Nominee Two for Second Team Member if Team Nomination

Nominee's Two Club

Second Nominee's Street Address

Second Nominee's City/Province

Second Nominee's Postal Code

Second Nominee's Email Address

D: Information Supporting the Nomination. Please include links or send digital copies by email to halloffame@novascotiastickcurling.ca D: Information Supporting the Nomination. Please include links or send digital copies by email to halloffame@novascotiastickcurling.ca I will email or link to evidence of championship wins/curling achievements I will email or link to evidence of awards, certificates and citations I will email or link to newspaper articles detailing achievements or promoting the sport I will email letters of support from non-family members (maximum of five) I will email or link to documentation supporting service rendered to the sport of stick curlin I will include the name and contact information of (2) two nominators

Form of links and information Supporting the Nomination. Please add all that apply to section D: above and please email the remainder.

Nominator Name

Nominator Club

Nominator Street Address

Nominator City/Province

Nominator Postal Code

Nominator Phone Number

Nominator email

Nominator Electronic Signature (Typing your name signifies signing this document )

Nominator 2 Name

Nominator 2 Club

Nominator 2 Street Address

Nominator 2 City/Province

Nominator 2 Postal Code

Nominator 2 Email

Nominator 2 Electronic Signature (Typing your name signifies signing this document )