| NAME | AGE | (As of March 27, 2003) |
| 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 # | #(________) | |
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 Important: No FAX applications accepted. ">LindaC0112@aol.com |
REMINDER: Deadline for all applications is THURSDAY FEBRUAY 13, 2003 Note: If using Fed Express, UPS, etc., sign the waiver allowing for the service to leave your application without requiring a signature.
Special Note: Late applications for 15/O will be accepted until March 2 and for 14/U until March 9. Late applications must be accompanied by a $10 late payment fee payable to Potomac Valley Swimming.