Youth Water Safety Leader Nomination
Nominate an Outstanding Youth Water Safety Leader for Drowning Prevention Week as part of our ongoing celebration of our Rivers West Community Champions. A total of one Outstanding Youth Water Safety Leader for the Community Champion Awards will be given. Recipient of this award will be recognized through an informal presentation in their community during Drowning Prevention Week, social media recognition, and a small token to show our appreciation. **Please note: Immediate family members of the nominee (such as parents, children, or siblings) are not eligible to submit nominations.
Deadline for submissions: June 17th, 2026
Nominator Name:
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First Name
Last Name
Nominator Community:
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ie. North Battleford
Nominator Email:
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example@example.com
Nominator Phone Number:
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Please enter a valid phone number.
Format: (000) 000-0000.
Nominee Name: *Nominee must be an individual Age 18-30
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First Name
Last Name
Nominee Date of Birth:
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-
Month
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Day
Year
Date
Nominee Community:
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ie. North Battleford
Nominee Email:
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example@example.com
Nominee Phone Number:
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Please enter a valid phone number.
Format: (000) 000-0000.
Why are you nominating this Champion?What makes them a champion? Consider sharing details such as their years of service, certifications, organizations they support, key projects or achievements, and whether their role is volunteer or paid. Most importantly, tell us about the impact on the people they serve to promote water safety !
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What certification(s) does the nominee have?
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Bronze Cross and Medallion
National Lifeguard Award
Swim for Life
Lifesaving Instructor
National Lifeguard Instructor
Other
I don't know
If "Other" was chosen above, please indicate what certification they hold.
Any other details/comments you would like to add?
Yes, consent has been obtained from the nominee to share their contact information and, if selected as a recipient of this award, to share their story on social media.
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Consent Received from Nominee
Please verify that you are human
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Submit
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