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Fill and Sign the Consent Form Pm 330

Fill and Sign the Consent Form Pm 330

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Select County: Maricopa Pima Crossing Guard of the Year Nomination Form Name of Crossing Guard: _______________________________________________________ Street(s) Guarded: _____________________________________________________________ School District: ________________________________________________________________ School: _______________________________________________________________________ Person Nominating Name: _________________________________________________________________ Phone Number: _________________________________________________________ Email: _________________________________________________________________ In the box below, please explain why your candidate deserves to be the 2011 Crossing Guard of the Year. Please limit yourself to 200 words or less. If you need more space, feel free to use the back or an attachment. Specific characteristics we are looking for in the Crossing Guard of the Year are: Dedication Friendliness Professionalism Safety Submit completed nomination form no later than March 11, 2011 to: publicrelations@arizona.aaa.com or mail to: AAA Public Affairs at 3144 N. 7th Ave., Phoenix, AZ 85013; or fax to (602)776-0466

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