Nomination Form 

Babylon Varsity Booster Club  
Wall of Fame Committee  

WALL OF FAME NOMINATION

Name of Nominated Athlete: _____________________________________________________________ 
                                         
OR  

Name of Nominated Team:  ______________________________________________________________ 

Address: _____________________________________________________________________________ 

Telephone: (         ) _____________________________________________________________________ 

Graduating Class: ______________________________________________________________________ 

Your name (if different): ________________________________________________________________ 

Address: _____________________________________________________________________________  

Telephone: (         ) _____________________________________________________________________  

Detailed statement of Athletic Honor, Awards, etc. (Please include sport, position, year and coaches name and attach supportive documents and pictures):

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Verification by Wall of Fame Committee: ____________________________________________________________________________________________

Photograph included: __________________________________________________________________________________________________________  

Wall of Fame Committee vote (by name): ______________________________, _____________________________, ______________________________,

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