Mooseheart Alumni Association | Athletic Hall of Fame Nomination Form
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Athletic Hall of Fame Nomination Form

PURPOSE

The purpose of The Mooseheart Alumni Association Athletics Hall of Fame is to pay tribute to and give lasting recognition to those individuals and teams who have made exceptional contributions and brought recognition, honor, and distinction to Mooseheart, Child City and School in the field of athletics and who have continued to demonstrate in their lives the values imparted by their experience.

To be eligible for the nomination for the Mooseheart Athletic Hall of Fame, the following requirements must be met:
  1. Graduate of Mooseheart High School in the 5th year prior to the current year.
  2. Participated a minimum of one interscholastic sport.
  3. Is a member in good standing of the MAA.

Nominee Information:

Name

Address

City
State
Zip Code
Phone
Email:
Mooseheart Class:

Sport(s) participated in (please include years played):

Athletic Honors and Achievements (school records, team records, captain-ship, etc.):

Other Achievements (pro athlete, non-athletic achievements, occupation, etc.):

VERIFICATION OF THE NOMINEE’S ATHLETIC ACHIEVEMENT MAY CONSIST OF:
High School athletic records | Coach’s records or verification of nominee’s accomplishments

NOMINATED BY:

Name:

Address:

City:
State:
Zip:
Phone:
Email:
Mooseheart Class:

Nominations must be reveived by July 31 of the current year.