Entry Information:

Please complete this form to its entirety. All fields must be completed for consideration.

First Name *

Last Name *

Street Address *

City *

State *

Country

Phone *

Email *

Award Nomination Information:

High School you are nominating: *

Sport: *

City the school is located in: *

Number of team members that participated in the act of service: *

Please describe the team's community service below: *

Please describe the project outcomes (2 paragraphs or less): *

Please include statements from those who were impacted by the act of service: *

Please upload up to 4 photos and/or a video of the act of service: *

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