SCHOOL____________________ ATHLETE'S NAME______________________
GPA_____________ Grade__________ Current Sport_________________________
Date of Nomination________________
Athletic Accomplishments:
Academic Accomplishments: Other Extra Curricular Activities: NAME AND SCHOOL OF NOMINATING COACH/ADMINISTRATOR__________________________________________
ATHLETIC DIRECTOR’S SIGNATURE________________________________
Fax this form to: Glen Maisch, Athletic Director, Kingston High School Fax # (845) 331-4161 Questions? Call Glen Maisch @ (845) 943-3736
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