Join / Rejoin POTOMAC VALLEY TRACK CLUB

Mail this form with a check payable to PVTC, c/o Don Riggs, Membership Secretary
3140-D West Springs Dr., Ellicott City, MD 21043-3261
410-461-6564 -- donriggs@juno.com -- www.pvtc.org
A club for youth, open, master, and senior track & field athletes, distance runners, and race walkers
First Name ... MI  Last Name 
Address .......  Apt 
City .............  State  Zip 
Home Phone  Work Phone  Fax 
Cell Phone 
Occupation .   DOB  (mm/dd/yy) Male Female
E-mail .........  Add me to PVTC@YAHOOGROUPS.COM
Special skills  Omit my name in publications and results
Signature ...... Date

ACTIVITIES in which you plan to compete:
Distance running Teams  Track & field Race walking    Other: 

FAMILY MEMBERS (for more family members include a second copy of this page)
1. First Name: MI LastMale Female
 Relationship: Activity DOB  (mm/dd/yy)
2. First Name: MI LastMale Female
 Relationship: Activity DOB  (mm/dd/yy)
3. First Name: MI LastMale Female
 Relationship: Activity DOB  (mm/dd/yy)
4. First Name: MI LastMale Female
 Relationship: Activity DOB  (mm/dd/yy)

  • Dues are $20 per year.  Renewals are due January 1. 
  • Others at same address: $5 per member 18 or older, or $3 per member under 18.
  • Maximum of $30 per address (only one newsletter per address).
  • TOTAL MEMBERSHIP DUES PAID WITH THIS APPLICATION   $

    WORKER COMMITMENT:  PVTC is a self-supporting club.
    We depend on all members to support our extensive program of events.
     
    *  I can help in the following areas:
    Assistant Official 
    Certified Official 
    Coaching
    Education
    Food Preparation
    Fall youth track & field     		Course Marshal
    Newsletter 
    Race Director 
    Registration 
    Social Activities
    Summer track & field meets     		Scoring
    Telephoning
    Water Station
    Winter track meets at TJ
    Other: 

    *  I commit to working these events:
    Long Distance Running
    By George (Feb) 
    Trail Run (Mar) 
    Easter Classic (Mar) 
    Go Fourth (4th of July) 
    Cranberry Crawl (Nov) 
    Christmas Caper (Dec)    		 Race Walking
    National Invitational (Apr)
    Spring Clinics (Apr-May)
    Postal One-Hour (Sep-Nov)
    Fall Clinics (Sep-Oct)
    Winter Clinics (Jan-Feb)
    Track & Field and Youth Programs
    TJ Indoor Meets (Jan-Feb)
    All-Comers Meets (Apr-Aug)
    PVA Games (Labor Day Weekend)
    Throws Meets & 5K Run (Sep-Nov)
        (held with Postal One-Hour Racewalk)
    Young Flyers Coaching (Apr-Aug)
    Young Flyers Coaching (Sep-Dec)
    Help Officiate at Youth Meets
    Volunteer
    Comments :     		 Consider me for these committees:
    Equipment 
    Long Distance Running
    Membership & Telephoning
    Newsletter 
    Publicity 
    Race Walking 
    Social Activities 
    Track & Field 
    Uniforms
    Youth

    • Thank you for joining or renewing your membership in PVTC and for your support for our programs.