Athletics Hall of Fame Nomination form
	You may submit an online nomination for the Stoneleigh-Burnham School Athletics Hall of Fame.  Nominations received by June 1st, will be considered for that years induction class.
	Nominee Information First Name* Last Name* Address 1 Address 2 City State ZIP Phone Fax Email* Please explain Nominee's athletic accomplishments at Stoneleigh-Burnham Please explain Nominee's athletic accomplishments since Stoneleigh-Burnham Community Service in Athletics Additional Information Nominator Information Nomination Submitted by* Date Submitted* Address* Phone number* Email address* Additional references for Nominee Electronic Signature*