905-356-2401 5960 Pitton Rd. Niagara Falls ON L2H 1T5

Westlane Sports Wall of Fame Nomination Form

This form should be completed by a graduate of Westlane.  In filling out the information below please be as detailed and accurate as possible.  Be sure to click the Submit button once you are finished.  Any questions and/or comments you have related to this nomination should be directed to
marty.mancuso@dsbn.org. 

Contact information of the NOMINATOR (the person filling out this form!):

Information about the person(s) you are nominating: