Entry Form news from the Bridgwater Mercury

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:^*