POTOMAC VALLEY SWIMMING OUTSTANDING ATHLETE
NOMINATION FORM FOR
2002 - 2003 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 16, 2003 FOR CONSIDERATION.
See detailed instructions and criteria

MAIL TO: Outstanding Athlete
Potomac Valley Swimming
P.O. Box 3729
McLean, VA 22103-3729
 
FAX TO:301-977-6028 (this is only for Outstanding Athlete, PVS Fax will be a different number).