Hall of Fame Application Form

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Name of Candidate *

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Street Address of Candidate *

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City, State, and Zip Code *

Anytown, PA 17538

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Unit Submitting Application

Please skip if you are not part of a member unit

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Contact Person *

How is submitting this application or can speak on behalf of this application

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Contact Person Phone Number *

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Contact Person Email *

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Please describe or list the reasons why this candidate should be considered for membership in the KIDA Hall of Fame. You should include all information that establishes this person as a positive contributor to the indoor activity and the young people the activity serves. *

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Hall of Fame Application Form