(As of August 10, 2005)
|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.
We have reviewed the Information Sheet. 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.
VERY IMPORTANT: We further acknowledge that we are aware that PVS will travel to and from Zones as a team this year. This means we undetstand we must travel to the meet with the team -- leaving Tuesday mornng August 9 and returning Sunday afternoon -- August 14. We will stay at the team hotel, have meals with the team, and participate in other team activities unless officially excused by the Head Coach or Team Manager.
|Mail completed zone application to:|| Mark Faherty
9730 Blake Lane ; Fairfax, VA 22031
Applications may be FAXed to 703-924-5414|
IMPORTANT:: Deadline for all applications is TUESDAY JULY 19, 2005 at 4PM Note: If using Fed Express, UPS, etc., sign the waiver allowing for the service to leave your application without requiring a signature. Total fees are $590. Meet entry deposit of $250 must accompany application or if faxed, be received by FRIDAY, JULY 22. The remaining balance of $340 is due by August 4th.
|Event #||Event||Seed Time||Meet/Date Acheived||14/U Ch|
I am planning to swim the following events at 14/U Champs at which I hope to achieve a Zone QT for the first time.
Please check one of the following statements:________ I have already qualified for at least one individual event and will definately particpate on PVS EZ team.
Swimmers with a Disability. Are you applying to be a member of
the PVS Eastern Zone Team under provisions in the meet announcement pertaining to swimmers with a disability.
(see pages 4-5)
If so, please also complete this additional form. You may update the specific events you want to swim until July 26.
Late applications for this meet will be accepted thru the conclusion of 10/U session Sunday July 24. They must be submitted to the zone table at the Age Group Championship Meet. A late application fee of $15 payable to PVS will be charged. The initial deposit of $250 will also be due at this time.