BROOKLAND-CAYCE HIGH SCHOOL 1300 STATE STREET CAYCE, SOUTH CAROLINA 29033 (803-791-5000)

  HALL OF FAME NOMINATION FORM  

All nominations must be presented on this “Hall of Fame Nomination Form.” Please present newspaper articles, yearbook entries, and other facts, statistics and information with this nomination form. All nominations must be turned in to the Athletic Director: Coach Rusty Charpia ([email protected])

    Name of Nominee: __________________________________________________________________________ Nominee’s Mailing Address: __________________________________________________________________ Nominee’s Cell Phone: ________________________ Nominee’s Home Phone: _________________________ Nominee’s Business Phone: __________________ Nominee’s E-Mail Address: ________________________ Sports Nominee Participated in: _______________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ Athletic Honors: ___________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ Number of Letters Won: _____________________________________________________________________ Post High School Achievements (College/Professional): ___________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________

Nomination Submitted By: ____________________________ Date Submitted: _____________________ Cell Phone: _____________ Other Phone: _____________ E-Mail Address: ________________________