Youth Awards Nominee Consent Form

BGC Kawarthas Youth Awards 2025 Form
To Be Completed by the Nominee
This form is for the nominee of one or two Youth Awards categories to fill out. Some of the questions may require the one who nominated them to say what they submitted. We thank everyone involved for their time.
My Name:*

First NameLast Name
The contact information my nominator shared is correct.*

Yes
I know which category or categories I've been placed in (Arts Achievement, Outstanding Worker, Humanitarian, STEM, Leadership, Resiliency, Health & Wellness Champion, BGC Club Spirit) and why I was nominated.*

Yes
I have been placed in the correct age category (12-17 or 18-24).*

Yes
I understand that BGC Kawarthas will share details from my statement of nomination, and hereby consent. I have read the attached media and promotional disclosure consent form (Part 5 of this form).*

Yes
I understand that I can only allow my name to stand in two categories (plus, if applicable, the Ron Kennedy Scholarship and Marcie Beall Scholarship)*

Yes
Signature of Nominee:

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Signature of Parent or Guardian of Nominee if Nominee is a Minor:

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So What Now?

There are a total of three forms required to be filled; this one, the nomination form and the media consent form. All of which can be found on our BGC Kawarthas website. After pressing Submit, please visit bgckawarthas.com.

The deadline for these forms is March 21st, 2025. If you would like to fill out an additional form, submit this one, and then start the next!
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BGC Kawarthas Youth Awards 2025 Form