Tacoma Athletic Commission


Tacoma Athletic Commission: PO Box 11304 · Tacoma, WA 98411 Phone: 253-759-1124 \| Email: dougmc@nventure.com

Online Form - Tacoma-Pierce County Sports Hall of Fame
Nomination/Inductees Profile Form

Tacoma-Pierce County Sports Hall of Fame Honoree's Questionnaire

* Name:
Address:	City:	State:	Zip:

Home Phone: Work Phone:
Birth Date: Birth Place: Email Address:
High School:	City:	Year Graduated:
College:	City:	Year Graduated:
Occupation: Employer:
Sport (s) I participated or was involved in (include position):

I participated for (teams/schools/league and years):

I coached for (teams/schools and years):

I officiated (leagues/conferences, years, sport):

I administered (leagues/conferences/schools/agency, title, years, sport):

Highlights of my career (include records, averages, success of teams, all-star selections, amateur and professional status, playing honors, coaching, etc.):

Other sports I played (give stand-out records, honors, success of teams, etc.):

Please indicate names and addresses of teammates if you know where they are (use back side, if needed):

Please indicate memorabilia (photos, uniforms) you may have for display:

Any additional comments you wish to make (use back side, if needed):

I plan to attend I do not plan to attend * Name/Signature: Date:

Please click to send online or print up and mail to:
Marc Blau
TPCHOF c/o Tacoma Athletic Commission
PO Box 11304
Tacoma, WA 98411

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