Entry deadline: 27th May, 2013

Nomination Category – (Please tick)

Club of the year Click to Select
School of the year Click to Select
Community Coach of the year Click to Select
Performance Development Coach of the year Click to Select
Volunteer of the year (People's Choice) Click to Select
Young Volunteer of the year Click to Select
Lifetime Achievement Award Click to Select
Grassroots Impact Award Click to Select
Player of the year (boy) Click to Select
Player of the year (girl) Click to Select

Nominee Contact Details

Title
 First Name
Last Name
EMail
Phone No
Address

Postcode

Nominators Contact Details

Title
 First Name
Last Name
EMail
Phone No
Address

Postcode

Please state your Area Association – (Please tick)

North Wales Coast FA Click to Select
North East Wales FA Click to Select
Central Wales FA Click to Select
Gwent County FA Click to Select
West Wales FA Click to Select
South Wales FA Click to Select

Reason for nomination (e.g. Achievement, Dedication, Excellence, Inspiration). Max 500 words:

What is your role in grassroots football?

 

 

How did you hear about the Awards?

Which club or school do you belong to?
Click to Select

I would like to hear more about the Welsh Community Awards – (Please tick)
Click to Select

I would like to hear more about McDonald's involvement in grassroots football – (Please tick)
Click to Select
 Tick to confirm you are over 16

Please note that entries received after the deadline can not be considered. Winners will be notified by Friday 21st June 2013. Thank you for taking the time to make this nomination. Please submit your nomination form online at www.welshfootballtrust.org.uk/awards or return your nomination form by post to: Welsh Community Football Awards. Welsh Football Trust, 3 Charnwood Court, Heol Billingsley, Parc Nantgarw, Rhondda Cynon Taff CF15 7QZ

Tel: 01443 844113 Email: info@welshfootballtrust.org.uk www.welshfootballtrust.org.uk