Camp Wasaga Board Nomination Form

Candidate Information
Name *
Name
Address *
Address
Home Phone Number *
Home Phone Number
Work Phone Number
Work Phone Number
Nomination for the following Board Positions
Please Check any of the following skills or experience that the candidate possesses: *
SUBMITTED BY:
Name *
Name
Date *
Date
Phone *
Phone
Has this person been contacted to determine their interest in being nominated
If "Yes" Would he/she be willing to serve if elected