GIPPSTAR Club of the Year Nomination Form 🏆✨

GIPPSTAR Club of the Year Nomination Form 🏆✨

Please complete the form to nominate an outstanding team for this prestigious award in the current Gippstar year (July - June).
Nominator Details
Name

First NameLast Name
Relationship to Club
(member/supporter/volunteer etc)
Mobile Number
Please enter a valid phone numberFormat: 0000 000 000.
Email Address
example@example.com
Club Information
Club Name
Sport
League/Association
Location

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Club Contact Person

First NameLast Name
Club Contact Email
example@example.com
Mobile Number
Please enter a valid phone numberFormat: 0000 000 000.
Club Profile
Brief Club Overview
Number of Club Members
President Name

First NameLast Name
Club Achievements
Achievement Entries
Guidance
Achievement Types

Other
Achievement Summary
Excellence and Impact
Why should this club be considered for the award?
Significant challenges overcome
Contribution to Gippsland sport
Photos
Photo requirements
Club Photo 1

Cancelof
Club Photo 2

Cancelof
Permission and consent confirmation
Declaration
Declaration
Nominator Name

First NameLast Name
Date

DayMonthYear
Date
Should be Empty: