Gerry Taylor Memorial Eastern Meritorious Award Junior

March 1, 2022

GERRY TAYLOR MEMORIAL EASTERN MERITORIOUS AWARD NOMINATION FORM

Hockey NL is now accepting nominations for candidates to be considered for the 2026 Gerry Taylor Memorial Eastern Meritorious Award. DEADLINE FOR SUBMISSIONS IS APRIL 15th!

NAME OF NOMINEE(Required)

First and Last

ADDRESS OF NOMINEE(Required)

Street Address Town Postal Code

Phone(Required)

Email(Required)

TEAM/LEAGUE INVOLVED WITH(Required)

# OF YEARS INVOLVED IN JUNIOR HOCKEY(Required)

PARTICIPATION AS A TEAM MEMBER

PARTICIPATION AS A LEAGUE EXECUTIVE MEMBER

OTHER INFORMATION ON CANDIDATE TO SUPPORT THIS INFORMATION

NAME OF NOMINATOR(Required)

SIGNATURE OF NOMINATOR(Required)

Date(Required)

TEAM/LEAGUE(Required)

PHONE # OF NOMINATOR(Required)

EMAIL OF NOMINATOR(Required)

Photo of Nominee(Required)

Accepted file types: jpg, jpeg, png, gif.

Note: A 5x7 head and Shoulder picture MUST be submitted with nomination.