Service to Disability Sport - Lancashire Sports Awards

This award is given to an individual, administrator, coach or official who has made a highly significant voluntary contribution to disability sport.

To download a word copy of the form click here

Please send the Nomination form to [email protected] or you can fill out the form below.

Name of Nominee:

Local Authority:

Address:

Postcode:

Telephone Number:

Email Address:

Club/Group Involved with:

Length of time involved:

Examples of how they have helped to increase participation in disability sport:

Breif outline of the continuous commitment and dedication they have shown and the impact they have had:

Description of key achievements including any individual achievements and club progress:

Any challenges overcome to get to this stage including any personal challenges or challenges associated with the role:

Examples of any partnership working with clubs, schools, disability groups ect:

Any other supporting information you would like the judges to take into account:

Nominated By:

Nominated By Email: