* 1. Athlete First Name
* 2. Athlete Last Name
3. Athlete E-mail (if known)
4. Athlete Phone (if known)
* 5. Athlete Age
* 6. Athlete is a resident of the fifty (50) United States, including the District of Columbia and Puerto Rico who are at least thirteen (13) years old at the time of entry
Yes
* 7. Athlete Sport(s)
ArcheryBocciaCyclingGoalballPara PowerliftingParatriathlonShooting/Air RifleSitting VolleyballSwimmingTable TennisTennisTrack and FieldWheelchair BasketballWheelchair FootballOther
* 8. First Name of Nominator
* 9. Last Name of Nominator
* 10. Nominator E-mail
* 11. Nominator Phone
* 12. Relationship of Nominator to Athlete
* 13. How does the nominee lend support and encouragement to others to achieve their greatest potential?
* 14. How does the nominee serve as a role model within the adaptive sports community?
* 15. Provide multiple examples of how the nominee exhibits commitment, persistence, and/or discipline to their sport.
