2023 Children's Category Nomination Form

Details of nominated child

First Name *

Last Name *

Email Address *

Contact Number *

School Year *

3456

Name of school, association or sporting club *

Suburb they live in *

Details of nominator (if same as above, please leave empty)

Nominator name

Nominator email address

Nominator contact number

Relationship to nominee

Nomination

Please pick the category you are applying for: *

LeadershipInspirationCommunity Involvement

In 250 words or less, please describe why your nominee deserves to win this award *

Supporting documents and pictures (optional)

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In submitting this form, you consent to Council:

1. Collecting your personal information as contained in the form; and
2. Using the information for the purposes outlined in the form and for any other Council function.Providing your information is voluntary.

Should you choose not to provide the information, Council is unable to process your application.You may access any of your personal information that Council holds upon request. *

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