Required fields are marked with asterisks (*)

Athletic Awards nomination

Use this form to nominate a team or individual for an Athletic Award.

What type of nomination are you submitting?

I am nominating a single athlete

I am nominating an entire team

Organization name

Competition name

Event details

Age divisions

Class

Placement

Other

Name of governing body

Athlete's contact information

If nominating a team without a team roster, use the "add" button to add more team members.

First name

Last name

Phone number

Email address

Add Remove

Coach or assistant coach's contact information

If there is more than one coach, use the "add" button to add more information.

First name

Last name

Phone number

Email address

Add Remove

Nominator's contact information

First name

Last name

Phone number

Email address

I am a...

Coach or manager

Athlete

Other

Privacy notice

Personal information is being collected under the authority of s. 28(2) of the Municipal Freedom of Information and Protection of Privacy Act (MFIPPA) and will be used to nominate athletes and teams for the City of Kitchener Atheletic Awards. This information will be shared with staff who require it for their work as part of the Athletic Awards and will be stored on a server owned by a Third Party Service Provider (eSolutions Group) located in Canada. The personal information collected herein will be used only for the purposes relating to the program and will be protected in accordance with the requirements stipulated in the MFIPPA.

Inquiries about the collection, use or disclosure of your personal information should be directed to Julie Doherty at julie.doherty@kitchener.ca.