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Required fields are marked with asterisks (*)

Medicine Hat Sports Wall of Fame Application

If you have any questions or concerns, please e-mail or phone 403-529-8333.

Submission deadline is September 30.

Contact Information


Nominee Information

*By signing below, the nominee agrees (if possible) to participate in the public reception and plaque unveiling hosted by the City of Medicine Hat. The nominee also agrees to have the information included in this application made public (if the nominee is selected).