Walk of Fame Nomination Form

All nominations are due by August 24, 2012. One (1) person will be enshrined in 2012. The Induction Ceremony will take place on October 28 in conjunction with FC Dallas' final regular season home match against Chivas USA.

Nominator Information

Full Name: *

Address: *

Contact Number: *

Email: *

Relation to the Nominee (if any):

Nominee - Player

If the nominee is a former player, please fill out the section below.

Player's Full Name:

Team(s) affiliation, including years played:

Year Retired:

Position(s):

Key Stats:

Nominee - Coach

If the nominee is a coach, please fill out the section below.

Coach's Full Name:

Team(s) affiliation, including years coached at the professional level :

Team(s) affiliation, including years coached at the amateur level :

Is this person still actively coaching?:

Yes

Key Stats:

Nominee – Soccer Administrator or Other Soccer Contributors

If the nominee is a soccer administrator or a general contributor to the sport of soccer, please fill out the section below.

Contributor's Full Name:

Outstanding Contributions:

Please provide, in 500 words or less, why your nominee should be enshrined into the Walk of Fame: *

I would like to receive newsletters and promotions from MLS, Soccer United Marketing, MLS Clubs and each of their sponsors and partners:

Yes

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Walk of Fame Nomination Form

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