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Name
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Address
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Phone
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Email
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Local High School (If Applicable)
Sport(s) Coached (If Applicable)
Year(s) Coached - HS (If Applicable)
Local College (If Applicable)
Year(s) Coached - College (If Applicable)
Outstanding Achivements, Honors, and/or Community Involvment
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Contact E-Mail Address for Nominator
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