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Lifesaver of the Month
Hi there, please fill out and submit this form if you believe someone deserves to be a 'Lifesaver of the Month' for their contribution to Lifesaving.
6
Questions
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1
Nominator Name
*
This field is required.
Please put your name here, not the person you are nominating.
First Name
Last Name
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2
Nominator Email
*
This field is required.
Please provide your email address here, to be contacted after your submission.
example@example.com
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3
Nominee Name
*
This field is required.
Please put the name of the person you are nominating for the 'Lifesaver of the Month' award.
First Name
Last Name
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4
Club Name
*
This field is required.
Please tell us the nominees club name
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5
In your own words, tell us why the person you nominated should be the 'Lifesaver of the Month'.
*
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Please keep this at 250 words or less.
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6
Please upload a photo of the nominee
*
This field is required.
This photo will be used for social media purposes to show our appreciation to the nominee, if they are chosen as the winner for that month.
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: 10.6MB
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