NOMINATION FORM

Your Information

Your Full Name:*
Your Email:*
Your Phone:*

Nominee Information

Nominee Full Name:*
Nominee Address:
Nominee City & State:
Nominee Phone:
Years Attended PHS:
Varsity Sports:
Captain or All State:
Championships:*
Honors and/or Awards:*
College/University Attended:*
Post School Activities:*
Professional/Civic Contributions:*

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NOMINATION FORM

Our Mission

To recognize, share and preserve individual and team achievements that have brought pride to Plainville while performing or coaching at Plainville High School or Plainville teams or gained prominence at the collegiate or professional level.

Mailing Address

Plainville Sports Hall of Fame
P.O. Box 593
Plainville, CT 06062

Email: Plainvillesportshof@yahoo.com