FAX Cover Sheet

YMCA Number: _________________
YMCA Name:     _________________
YMCA Address: _________________

 

 

To: National YMCA Swimming and Diving Committee

Re: 2019 YMCA Short Course Nationals

Fax Number: 1-866-633-8996; Email Address: YMCAForms@comcast.net

From: ________________________________________

Contact Phone: _________________________________

Contact Email Address: __________________________

Number of Pages: __________ (including this cover)

Date of Transmission: _______

Instructions: This cover sheet must be the FIRST page of the fax or email attachment. NO OTHER COVER sheet should be included.

Make sure when you print this Cover Sheet there is a barcode at the top.

All documents to be faxed/emailed must be combined into one Fax transmission or one email attachment

Document to be Faxed/Emailed:

CERTIFICATION, ELIGIBILITY & RELEASE DECLARATION