VALLEY FORGE MASTERS
SWIM TEAM

MEMBERSHIP APPLICATION

NAME

ADDRESS

CITY/STATE/ZIP

TELEPHONE

BIRTHDAY

E-MAIL ADDRESS

 ______________________________________________________         SEX______ 

______________________________________________________

______________________________________________________

________________________              

________________________

________________________

 

How often do you practice and at what locations?           

______________________________________________

 

In how many meets do you participate on an annual basis?

______________________________________________

Are you a member of USMS?      YES_______       NO________

If so, what USMS sanctioned team do you represent?

Colonials 1776 ___________     Unattached__________    Other______________

Note:  It is mandatory that all VFM members also join USMS to ensure insurance
           coverage at USMS workouts and meets.

Would you be interested in becoming involved in any VFM committees?
If so, please circle one or more of the following:

Social            Membership              Charity              Newsletter

In what activities would you like to see VFM involved?

___________________________________________________________

Please send the completed application and a $ 20.00 check payable to "Valley Forge Masters" to:

Dan Castellano
20 Cabot Court
Media, PA  19063
email:  dcastell@bee.net

Please include your e-mail address.  This will enable us to contact you quickly concerning any swim meets, clinics, or special events.  If you have and any questions call Dan at 484-444-0206.