POTOMAC VALLEY SWIMMING OUTSTANDING ATHLETE
NOMINATION FORM FOR
2005 - 2006 CONSIDERATION

NOMINEE 
  		PVS # 
 
AGE GROUP: 
  		CLUB: 
 

CRITERIA FOR CONSIDERATION:

ACHIEVEMENT/EVENT EVENT PLACE
EXAMPLE: LC JUNIOR NATIONALS 100 Meter FREE FIRST
 
 		 
 		 
 
 
 		 
 		 
 
 
 		 
 		 
 
 
 		 
 		 
 
 
 		 
 		 
 
 
 		 
 		 
 
 
 		 
 		 
 
 
 		 
 		 
 
SUBMITTED BY: 
 
ADDRESS 
 :
PHONE: 
  		DATE: 
 

NOMINATIONS MUST BE RECEIVED BY WEDNESDAY, SEPTEMBER 20, 2006 NOON, FRIDAY, SEPTEMBER 22, 2006 FOR CONSIDERATION.
See detailed instructions and criteria

MAIL TO: Outstanding Athlete
Potomac Valley Swimming
P.O. Box 3729
McLean, VA 22103-3729
 
Email To: 2006 Outstanding Athlete
 
FAX TO:202-318-2505