Nomination Form

We’re looking for the next SPORTS `N SPOKES Junior Athlete of the Year. If you know an outstanding young wheelchair athlete, nominate him or her using the online form. Athletes should be no older than 21-years of age and use adaptive sporting equipment as part of their sport. The nomination deadline is June 15, 2019.

Junior Athlete of the Year

Please complete the nomination form no later than June 15, 2019. A winner will be selected and announced at the closing ceremonies of the 2019 Adaptive Sports USA Junior Nationals.

Athlete's Name*
First Last
Athletes Disability / Disease*
Athlete Date of Birth*
Athlete's Phone Number*
Athlete's Email Address:*
Athlete's Website
Sports*
State / National Honors*
Records*
Attending 2019 Junior Nationals*
Please let us know if your athlete intends to attend the 2019 Junior Nationals
- Attending Junior Nationals
- NOT Attending Junior Nationals
- Uncertain at this time
Community / Activities / Volunteer Work*
Letters of Recommendations*
Athlete Photo*
Please upload a headshot of your athlete.
Your Name*
First Last
Email*
Phone*
Phone
This field is for validation purposes and should be left unchanged.

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Junior Athlete of the Year

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