Required fields are marked with asterisks (*)

Council Recognition of Individuals and/or Teams

The Municipality of North Perth has a policy in place to ensure that recognition of sports groups and individuals are executed in a consistent manner. Please complete this form if you and/or your team have recently won a Provincial, National or International Championship and wish to be recognized at a future Council meeting. View the Council and Committee calendar for upcoming meeting dates.

Team/Individual Name

Name of Championship Won

Date of Championship Win

Team/Individual Contact Person

Team/Individual Contact Number or Email Address

Number of Members on Team (if applicable, include players and coaching staff)

Please provide full team roster including player and coaching staff names (if applicable)

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Allowed extensions

Provide any background information relevant to the individual/team and their championship win

Please indicate three (3) council meeting dates that you/your team would be available to attend a Council Meeting in person to be recognized. (Use the link above to view upcoming meeting dates on the Council and Committee Calendar)