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2012 Father of the Year Nomination Form

2012 Father of the Year Nomination Form. Tell us, in one page or less, what your father means to you and why he should be named the Kansas City’s “Father of the Year”. Attach your nomination to this completed form and submit it in one of the following ways: Fax (877) 803-3252

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2012 Father of the Year Nomination Form

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  1. 2012Father of the YearNomination Form Tell us, in one page or less, what your father means to you and why he should be named the Kansas City’s “Father of the Year”. Attach your nomination to this completed form and submit it in one of the following ways: Fax (877) 803-3252 Email – Fathers@100blackmenkc.org Mail – PO Box 12500, Kansas City, KS 66112 Nominations can also be completed online at www.100blackmenkc.org/events/father2012 Nominations must be received by June 25, 2012 Winners will be honored at the Celebration of Fathers 4pm Sunday, July 1, at the Bruce R. Watkins Museum. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 2011 FATHER OF THE YEAR CONTACT INFORMATION Nominee First Name: ______________________ Last Name: ______________________ Mailing Address: ___________________________________________________________ Email Address: ____________________________________ Phone: ( ) NOMINATION SUBMITTED BY: First Name: ______________________________ Last Name: _______________________ Relationship to the Nominee: ___________________________ Mailing Address: ___________________________________________________________ Email Address: ____________________________________ Phone: ( )

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