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Outstanding Student Athlete of the Week Nomination

Please complete this form to nominate a Burger King Outstanding Student Athlete of the Week.

1.

Please provide your name and contact information.

First Name		M.I.		Last Name

Email Address		Daytime Phone		Evening Phone

2.Student's name

3.School student attends

4.Student's grade point average

5.Current sport(s) student is participating in

6.Extracurricular activities student participates in

7.Please tell us why you feel this student should be selected as the Burger King Outstanding Student Athlete of the Week.

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