Club/Junior Club of the Year

• Please ensure you read the Award Criteria 2010 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.

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     Telephone     Email Address     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? Please provide details of progress made between 01/09/09 and 31/08/10     Please list any competitions and/or leagues the club has participated in between 01/09/09 and 31/08/10     Please list any awards and/or trophies achieved by the club between 01/09/09 and 31/08/10     Give details of any other activities this club has provided between 01/09/09 and 31/08/10 (e.g. fundraising, events, tours etc.)     Give details of how the club has encouraged new members between 01/09/09 and 31/08/10     Give details of how the club has recruited new coaches and volunteers between 01/09/09 and 31/08/10 (e.g. Step into Sport)     Additional information to support this nomination, describing why this club deserves to win this award (no more than 100 words). Remember to include any details of school club links, Sport Unlimited and performance pathways you have in place.   Details of person making the nomination   Name     Address     Telephone     Fax     Email Address     DOB (if under 18)     Organisation     Job Title        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. *   Type both words separated by a space below:

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