Required fields are marked with asterisks (*)

Youth Awards Nomination Form

Thank you for taking the time to nominate a Whitby youth. Before you start please ensure that you have read and understand the guidelines for submitting.

Must be a Whitby youth
Ages 12-18
Nominations cannot be from a family member

Nominee Information

Please provide some details about the person you are nominating.

Does the nominee live in Whitby?

Yes

Nominee first name:

Nominee last name:

Nominee email:

Nominee date of birth:

Nominee school or organization:

Nominee grade:

Please submit a detailed description explaining why you nominated this person and how they have made the Town of Whitby a better place. This information will be shared and read at the event.

Nominator Information

Please let us know who you are.

Your first name:

Your last name:

Your email:

Your phone number:

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Youth Awards Nomination Form

Nominee Information

Nominator Information