APPLICATION DEADLINE FEBRUARY 22, 2002

PVS 2002 SHORT COURSE ZONE TEAM APPLICATION

NAME AGE 
(As of April 4, 2002)
 
ADDRESS SEX: M   F 
  CLUB  
PHONE #(________)
E-MAIL ADDRESS 
Athletes USA Swimming Registration #  
NOTE: Application will not be accpeted without correct USA swimming registration number.
COACH   COACH’S PHONE # #(________)
T-shirt size Suit size 

EVENTS APPLIED FOR AND BEST TIME

Event

---Best Time--- Event---Best Time--- Event---Best Time---
50 Free**  50 Back  50 Fly  
100 Free** 100 Back  100 Fly  
200 Free** 200 Back  200 Fly  
500 Free  50 Breast  100 IM 
1000 Free  100 Breast  200 IM  
1650 Free  200 Breast  400 IM  
** All 12 & Unders MUST submit a time for 50 and 100 free,
and all 13 & older swimmers MUST submit a time for the 50, 100, and 200 free.

VERIFICATION OF TIMES FROM NON PVS MEET IS REQUIRED WITH APPLICATION.
NAME OF MEET AND LOCATION IS REQUIRED FOR PVS TIMES.

SELECTION OF RELAYS Relay teams will be selected by the Zone Team coaching staff. The position in a relay and/or the strokes swum in medleys will also be determined solely by the coaching staff.

In submitting this application, we understand that a swimmer selected for this team will be representing PVS, and as such will follow all guidelines and codes of conduct established by Potomac Valley Swimming.

Swimmer’s Signature:   Date:  
Parent’s
Signature:
 
Mail completed zone application to: Linda Crudup;   13107 Keverton Drive;   Upper Marlboro, MD 20774
Phone#(301) 249-1803   

REMINDER: Deadline for all applications is FRIDAY FEBRUAY 22, 2002 Note: If using Fed Express, UPS, etc., sign the waiver allowing for the service to leave your application without requiring a signature.