EPPING FOREST DISTRICT SWIMMING CLUB
ACHIEVEMENT AWARD WINNER NOMINATION FORM
Your swimming club is entitled to elect a Jack Petchey Achievement Award Winner. Recipients do not have to be the best, they
can be recognised for personal developments and positive personality traits. Achievement Award Winners must be aged between
11 and 25 years.
Award Winners will receive a framed certificate, a pin badge and £300 to be a spent on the club. They will also receive a boxed
medallion at the Awards Night.
Please complete this form to make your nomination.
I nominate: _____________________________________
I am a: (delete as appropriate) Club Member/Parent/Other
Reason for Nomination
Name
Signature
Date
Please hand back to Wendy Smith ( Lauren and Madison Smith’s Mum ) or Julie Tysterman ( Jes and Ellen’s Mum ).
Alternatively you can email your nomination to wendysmith6@hotmail.co.uk or Julie.tysterman@sky.com
TO BE RECEIVED BY 18TH SEPTEMBER PLEASE
______________________________________________________________________________
EPPING FOREST DISTRICT SWIMMING CLUB
ACHIEVEMENT AWARD WINNER NOMINATION FORM
Your swimming club is entitled to elect a Jack Petchey Achievement Award Winner. Recipients do not have to be the best, they
can be recognised for personal developments and positive personality traits. Achievement Award Winners must be aged between
11 and 25 years.
Award Winners will receive a framed certificate, a pin badge and £300 to be a spent on the club. They will also receive a boxed
medallion at the Awards Night.
Please complete this form to make your nomination.
I nominate: _____________________________________
I am a: (delete as appropriate) Club Member/Parent/Other
Reason for Nomination
Name
Signature
Date
Please hand back to Wendy Smith ( Lauren and Madison Smith’s Mum ) or Julie Tysterman ( Jess and Ellen’s Mum ).
Alternatively you can email your nomination to wendysmith6@hotmail.co.uk or julie.tysterman@sky.com
TO BE RECEIVED BY 18TH SEPTEMBER PLEASE.