Player of the Month Submission Form

Introducing the "Player of the Month" Program, where we celebrate individuals in our community who embody resilience, strength, and sportsmanship. This initiative not only highlights those who make a significant impact through their leadership and commitment to mental health but also supports local businesses in London, Ontario. Each month, a deserving individual will be honoured on our social media platforms and receive a special prize donated by a local small business partner. Join us in recognizing outstanding community members and promoting mental health awareness while supporting our local economy.

Nominee Information

Full Name of Nominee

Email Address of Nominee

Phone Number of Nominee

Nominator Information

Full Name of Nominator

Email Address of Nominator

Phone Number of Nominator

Relationship to Nominee (if any)

Nomination Details

Please describe why you are nominating this individual for the Player of the Month award. Include specific examples of how they exemplify resilience, sportsmanship, community impact, and their dedication to mental health awareness (max 300 words)

Supporting Documents or Links (Optional)

Upload any supporting documents, photos, or provide links (e.g., social media profiles) that showcase the nominee's achievements and contributions

Consent

I confirm that I have the nominee's consent to submit their information for this nomination.

I understand that the information provided may be used for promotional purposes related to the Player of the Month program.

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Player of the Month Submission Form

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