Athletic Hall of Fame Nomination Form

Required fields are in bold.

Nominee Information
Nominee was a(n)  
 
Nominator Information
 

Nominations are due by June 1, 2005.

You may also mail, email or fax any additional information that may assist the Hall of Fame Selection Committee to:

Rick Wilcox
Episcopal High School
1200 North Quaker Lane
Alexandria, VA 22302

Phone: 703-933-4024
Fax: 703-933-3016
E-mail: fw@episcopalhighschool.org
www.episcopalhighschool.org

View the PDF of this form