Bridgwater Mercury: youth awards no logo

Please complete all fields denoted by *



Full name of person being nominated: *
Age of person being nominated: *
Address of person being nominated: *
*
Postcode: *
Their phone number: *
Their e-mail (if known):
YOUR full name *
YOUR daytime contact phone number: *
   
In NO MORE THAN 200 words, explain why the person you are
nominating should receive a Pride of Somerset Youth Award:*