Former Athlete - Hall of Fame Nomination Form
Thank you for your interest in completing a nomination to be considered for the Pana Sports Foundation Hall of Fame. Please complete all sections of the form to the best of your ability. Forms must be submitted by June 15th, 2024. Printed forms are available at TCCU Credit Union in Pana.
Nominator Name
Nominator Address
Nominator Email
Nominator Phone Number
Relationship To Nominee
Nominee is a:
Select an option
Former Athlete
Nominee Name
Nominee Address
Nominee Email Address
Nominee Phone Number
PHS Class Year
College Attended
Grad School Attended
Is The Nominee Deceased?
Yes
No
All Sport(s) & Year(s) Participated
Athletic Achievements
Statistical Records
Team Honors, Championships
School Community & Professional Career Information
Additional Information/Comments
Submit
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