POTOMAC VALLEY SWIMMING OUTSTANDING ATHLETE
NOMINATION FORM FOR
2001 - 2002 CONSIDERATION

NOMINEE 
  		PVS # 
 
AGE GROUP: 
  		CLUB: 
 

CRITERIA FOR CONSIDERATION:

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

NOMINATIONS MUST BE RECEIVED BY TUESDAY SEPTEMBER 17, 2002 FOR CONSIDERATION.
See detailed instructions and criteria

MAIL TO: OUTSTANDING ATHLETE
POTOMAC VALLEY SWIMMING
P.O. BOX 313
WASHINGTON GROVE, MD 20880
 
FAX TO:301-390-1056