APPLICATION DEADLINE MONDAY FEBRUARY 23, 2004

PVS 2004 SHORT COURSE ZONE TEAM APPLICATION

NAME AGE 
(As of April 1, 2004)
 
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 # #(________)

ATHLETES MUST PROVIDE TIMES TO ZONE COORDINATOR AND WEBMASTER
FROM NON PVS MEETS THAT ARE NOT ON PVS ZONE TOP 10 LISTS.
EVENT, TIME, NAME OF MEET, AND LOCATION IS REQUIRED
MEET MUST BE SANCTIONED OR SWIM MUST HAVE BEEN PROPERLY OBSERVED.

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: James Garner   12904 Meadow View Drive ;   Gaithersburg, MD 20878-2168
   Important: No FAX applications accepted.
Direct your inquiries regarding team participation to Linda Crudup at 301- 249-1803 or LindaC0112@aol.com
IMPORTANT: A list of applications received will be posted promptly upon receipt. Therefore, please wait at least one week before inquiring about the status of any application submitted.

REMINDER: Deadline for all applications is MONDAY FEBRUARY 23, 2004 Note: If using Fed Express, UPS, etc., sign the waiver allowing for the service to leave your application without requiring a signature.

Swimmers with a Disability. Are you applying to be a member of the PVS Eastern Zone Team under provisions in the meet announcment pertaining to swimmers with a disability. (see page 4)
Yes ________ No _________

If so, please also complete this additional form. You may update the specific events you want to swim until March 23.

Special Note: Late applications for will be accepted from 14/U swimmers until March 7 and from 15-18 year old swimmers until March 14. Late applications must be accompanied by a $10 late payment fee payable to Potomac Valley Swimming.