Club/Junior Club of the Year

• Please ensure you read the Award Criteria 2011 before making your nomination
• If you wish to nominate a club, please complete the form below

Please note: All nominations will be judged solely on the information received, therefore please include as much relevant detail as possible.

Please remember to fill in contact details, as this is how we will be in touch should the nomination be successful.

You may also want an NGB representative to endorse your nomination. If you would like to do this, please direct them to the NGB Endorsement Form as well as passing on all club information to allow them to complete the endorsement form.

PLEASE NOTE: If you wish to save your form to complete at a later date, you must ensure you make note of the reference number given when clicking 'Save for later...' as you will be required to enter this when clicking 'Load...' to access the data.

Club Details   CSN area for which the nomination is being made. Please select the appropriate box (ONE box only)   Chester le Street & Durham City Easington Teesdale and Wear Valley Derwentside Sedgefield   Category the Club is being entered for:   Sports Club of the Year Junior Sports Club of the Year   Name of Club     Name of Key Person in Club     Correspondence Address (must be provided to allow contact)     Telephone (if known - important to allow contact)     Email Address (if known)     Club Base     Training Times     Is the club accredited?   Yes No   If yes, when was it accredited?     If no, is the club actively working towards accreditation?   Reason for Nomination Please give details describing why this club deserves to win this award: (no more than 250 words) Consider including details of school club links and performance pathways the club has in place, any competitions or leagues participated in, any awards or trophies achieved, alternative activities the club has provided, how it has encouraged new members, recruited new coaches and volunteers and how this club impacts on its local community Details of person making the nomination   Name (your name)     Telephone     Email Address   Image   Please upload an image of the club (for use in presentations)     Is the club aware of this nomination?   Yes No      I nominate the above club and confirm to the best of my knowledge the details given in support of this nomination are accurate. I understand the judges' decision is final and that no correspondence will be entered into. * If any of the details are found to be inaccurate or false this will result in your nomination being withdrawn from the process.   Type both words separated by a space below:

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