USQRA Spirit of Achievement and Athlete of the Year Nomination Ballot
(print twice if submitting in both categories)

This ballot is for: (check one)

q Spirit of Achievement Award

q Athlete of the Year Award

Only 1 nomination per category please.

Nominees Name:                                                                                                                              

Nominees Team Affiliation:                                                                                                             

Reasons for your nomination: Please take into account the following: Sportsmanship, All Tournament selections, MVP selections, National Team participation, contributions to the community, and the sport of wheelchair rugby.

 

 

 

 
 

 

 

 

Additional information may be provided on a second sheet of paper if necessary.

Your Name:                                                                                                                                  
Your team affiliation/title:                                                                                                            
Your phone number:                                                                                                                      

NOMINATIONS MUST BE RECEIVED NO LATER THAN MARCH 10th
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