Watervliet City Schools masthead
Watervliet Athletic Hall of Fame Online Nomination Form

Items marked with an asterisk are required. Please be sure to fill out the form completely before hitting the send button!

*Nominee:

*Nominee's Home Address:


Nominee's Home Phone:

Nominee's Business Phone:

Nominee's Email Address:


*Division of Nomination:

(please pick one)
  Student-Athlete       Coach       Administrator       Alumnus

*Class of:

*Sport:


*Distinguishing Contributions/Achievements:

Please type why you think this person deserves to be a
member of the Watervliet Athletic Hall of Fame.

*Submitted by:

*Submitter's Phone Number:

Submitter's Fax Number:

*Submitter's Email Address: