* Required

First and Last Name of Nominee or Name of Team*required

Class Year

Relationship to Brewster

Please Select…Alumna/usCoachFriendTeam

Mailing Address

City

State

Zip/Country Code

Country

Phone Number (Home or Cell)

Phone Number (Work)

Email

Sports Played at Brewster

College/Universtiy Attended

College/University Class Year

If nominee is deceased, include name and contact information of a living relative and relationship

Athletic awards and/or distinctions at Brewster/University/Other

Leadership/Community Service/Volunteer roles

Other relevant accomplishments

Nominated by (include class year, if applicible); Contact information must be provided for nominations to be considered*required