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Youth of the Month (Chantal Bérubé Memorial Fund) nomination form

The Youth of the Month award is an honour presented to a youth who is either a resident of or student in Beaumont between the ages of 12 & 18.

Youth of the Month nominee

I would like to nominate the following person for Beaumont’s Youth of the Month award in memoriam of Chantal Bérubé.
Name(Required)
Please enter a number from 12 to 18.
Email(Required)
Please explain how your nominee is an amazing youth. Tell us about your fantastic babysitter, reliable employee, dedicated volunteer or otherwise awesome youth.

Nominator details

Your information goes here!
Nominator name(Required)
Your name
Nominator email(Required)
Electronic signature agreement(Required)
Please type your first name, middle initial and last name.
FOIP ACT(Required)

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Name(Required)
Email(Required)
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