Shanaman Sports Museum · Tacoma

Online Form: Sports History Questionnaire/Hall of Fame Nomination Form

Tacoma-Pierce County Sports History Questionnaire

Please complete the following information regarding your involvement in sports as a player, coach, official, administrator, sportswriter/broadcaster, or any other capacity. This information will allow us to establish a comprehensive database from which a historical perspective for athletics can be maintained.

* Name:
Address:	City:	State:	Zip:

Home Phone: Cell Phone:
Birth Date: Birth Place: Email Address:
High School:	City:	Year Graduated:
College:	City:	Year Graduated:
Current or Previous 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 athletic 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 (photo, uniforms) you may have for display:

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

* Signature: Date:

Please click to send online or
Click here to download the form (PDF file), print up and mail to: Marc Blau
9908 63rd Ave. Ct. East, Puyallup, WA 98373

For Further information Call Marc at 253-848-1360 or
email at marc@tacomaathletic.com

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