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The Athletic Hall of Fame of the Lower Virginia Peninsula Nomination Ballot

I wish to nominate the following person for the Athletic Hall of Fame of the Lower Virginia Peninsula:
(Authenticated biographical sketch and any other information of your choice must be included in the comments field of this form.)

Fields marked with an asterisk * are required.

Nominations are accepted throughout the year. The deadline for the 2011 induction cycle is September 10, 2010.

General Information
Next of Kin if Deceased
High School Attended
College Attended
Nomination Submitted By