Changing Lifestyle Award

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

Please send the Nomination form to 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:



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: