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1.
Name of Team:
*
2.
Name of Coach or Team Leader:
*
3.
Contact Information for Person Submitting Nomination
First Name
*
M.I.
Last Name
*
Email Address
*
Daytime Phone
*
Evening Phone
4.
Mailing Address
Street Line 1
*
Street Line 2
City
*
Alaska
Alabama
Arizona
Arkansas
California
Colorado
Connecticut
D.C.
Delaware
Florida
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Hawaii
Idaho
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Indiana
Iowa
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State
*
Zip Code
*
5.
Please share why your Team should be the WTOK Team of the Week:
*
6.
Please list some of your Team's achievements:
7.
If you are submitting a Team Photo, please check the box below:
I hereby confirm that the submitted Team Photo is mine, and I give WTOK permission to share it.
CLICK HERE
to submit your Team Photo.
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represents required fields