POTOMAC VALLEY SWIMMING OUTSTANDING ATHLETE
NOMINATION FORM FOR
2008 - 2009 CONSIDERATION

NOMINEE

 
 

PVS #

 
 

AGE:

 
 

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 NOON, SATURDAY, SEPTEMBER 26, 2008 FOR CONSIDERATION.

See detailed instructions and criteria

 

MAIL TO:

Outstanding Athlete
Potomac Valley Swimming
3212 Allness Lane
Herndon, VA 20171

 

 

Email To:

terripvs@verizon.net

 

 

FAX TO:

202-318-2505