Melton Active Champions

Nominating your 'Melton Active Champion' is a way of celebrating and recognising people within our communities that have been motivating, inspiring and making it possible for us to keep physically active and healthy throughout 2021.

So much great work has taken place, and we all know the power of sport and physical activity to promote physical and mental wellbeing, so together let's share and shout about what has been happening as we approach normality, after what has been another very tough year.

To nominate someone who has been motivating or inspiring, please complete the below nomination form. Nominations open on Thursday 6th January and close on Monday 31st January.

The nominees will be published on the Melton Sport & Health Alliance social media pages after the closing date. Three nominees will be selected at random to receive a £20 Melton Sports Voucher, this will be announced on Monday 28th February at 12.30pm via a Facebook live event on the Melton Sport and Health Alliance Facebook page.

Follow Melton Sports and Health Alliance on social media for the latest updates:


Twitter: @MeltonSportHA

Melton Active Champions Nomination Form

* Required Field

Your Details:

Nominee's Details

The following details will be needed so we can contact the individual for photo permission and arrange delivery of their certificate.

If they are not a group or organisation - please leave blank.

We will confirm with the nominee that they are happy for us to tag them in any posts prior to doing so

Please give as much details as possible

(Limited to 200 words)

Data Protection Statement

The Council will process and store your data in accordance with the Data Protection Act 1998 and within the General Data Protection Regulations 2018.

The personal data provided within this form will be used for the purpose of this request and we will not use the data for any other purpose. We may, where necessary, share your data with another department or with a third party organisation for the purpose of providing you with the service that has been requested. Full details of whom and where we may send data can be found on the departments privacy notice. These are available for inspection at:

If we intend on using your data for anything outside of our published privacy notices, we will write to you to confirm that you give your consent to use your data for this purpose before we do so.

You have the right to withdraw your consent at any time. If you do not want the Council to process your data, you can notify us in writing or by email. These details are available on the Council’s website. If you withdraw your consent, the service you receive will not be negatively affected.

If you are under the age of 16, we would require parental / guardian consent before we process your data. Please do not complete this form yourself if you are under this age.

The Council will only hold your data for as long as is necessary. The Council has a retention schedule for all of the data it holds and where applicable, the Council will confidentially dispose of data that falls outside of the retention period.

If you require any further information relating to Data protection please visit:, prior to completing this form.