Please complete this form to make a nomination for a National or Regional SLSGB award.

A separate form must be completed for each individual you wish to nominate for an award, even if he/she is part of a group (i.e. for a Bravery or Rescue award). A separate form must be completed if you wish to nominate an individual for more than one award. Refer to the SLSGB Honours & Awards Guide for details of who is eligible to receive an award and relevant criteria.

Please complete the form as fully as possible before submitting your nomination

ONLY ONE NOMINATION PER FORM PLEASE

Heroes Of The Surf Nomination Form

Step 1 of 3

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Part 1 Details of person you wish to nominate
Name*
Title First Last
Address
Street Address Address Line 2 City Region Post Code
Date of Birth
SLSGB Club (if appropriate)
How long has the individual been a member (years)
National position(s) held
Regional position(s) held
Club position(s) held
Award you would like to nominate for*
Is the person you are nominating part of a group being nominated*
Names of others in this group being nominated*

Part 2 Your details as the person/club region or national committee making the nomination
Name*
Title First Last
Address*
Street Address Address Line 2 City Region Post Code
SLSGB Club (if appropriate)*
National position(s) held*
Regional position(s) held*
Club position(s) held*
Telephone number*
Mobile telephone number
Email*

Part 3 The nomination
It is important that you give as much detail as possible about what your nominee has achieved which makes them stand out against others and the period over which this achievement has occurred if appropriate, or the braver/rescue actions for which you are making this nomination..
I/we nominate the above named for this award because*

Part 1 Details of person you wish to nominate

Part 2 Your details as the person/club region or national committee making the nomination

Part 3 The nomination