|
NOMINEE |
|
PVS # |
|
|
AGE: |
|
CLUB: |
|
|
ACHIEVEMENT/EVENT |
EVENT |
PLACE |
|
EXAMPLE: LC JUNIOR NATIONALS |
100 Meter FREE |
FIRST |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
SUBMITTED BY: |
|
||
|
ADDRESS |
|
||
|
PHONE: |
|
DATE: |
|
NOMINATIONS MUST BE RECEIVED BY MIDNIGHT, SUNDAY, SEPTEMBER 19, 2010 FOR CONSIDERATION.
See detailed instructions and criteria
|
MAIL TO: |
Outstanding Athlete |
|
|
|
|
Email To: |
|
|
|
|
|
FAX TO: |
202-318-2505 |