Changing Lifestyle Award

To Submit a word copy download: Awards-Nomination-Form-Hyndburn

Please send the Nomination form to events@activelancashire.org.uk or you can fill out the form below.

Please note the form below cannot be saved, please complete in one go or use the word form above.

Nominee Name:

Local Authority:

Address:

Postcode:

Telephone Number:

Email Address:

Club/ Group/ Activity Involved in:

Tell us in your own words how this person has changed their lifestyle through sport and physical activity:

I have read and understood the rules of entry: YesNo

Nominated By:

Nominated By Email: