Sport Waikato - Sport Maker

NOMINEE DETAILS

First Name*

Surname*

Postal Address 1*

Postal Address 2*

Postal Address 3*

Postal Address 4*

All Waikato region based Sportmaker nominees will receive written recognition of their nomination via post. Please ensure correct postal address is provided.

District*

Note: the Waikato District includes Ngaruawahia, Huntly, Raglan, Matangi, Tamahere, Te Kauwhata, Meremere, Pokeno, Tuakau and Port Waikato

Email Address*

Phone Number*

Name of school/club/RSO Sportmaker is involved with*

Nominee's role at club/school/RSO*

Jacket Size*

Sport

All Waikato region based nominees go in a draw for the chance to receive sporting gear

Why are you nominating this person?*

NOMINATOR DETAILS

Nominator First name*

Nominator Surname*

Nominator Email Address*

Contact Phone Number*

Where did you hear about the Sport Maker campaign?*

Sport Maker

Reward a Waikato based Sport Maker by

nominating them now!

Sport waikato serves in these communities:

Our Major Programmes

Regional Leadership

Sport Maker

Reward a Waikato based Sport Maker by

nominating them now!

Sport waikato serves in these communities:

Our Major Programmes

Sport Waikato Staff Portal