E-Form: Update Contact Information

Instructions:

MVS Officers and coach's information can be updated by filling in the form below. This does not take the place of your annual registration with MVS; it merely allows us to correct or change information published on the MVS website. Filling in this form does not meet any of the registration requirements set forth by USA Swimming and/or Missouri Valley Swimming.
You must be registered with MVS to be shown on our Registered Coaches lists. Do not use this form if you are not currently registered.
Note that some fields are required (indicated by asterisk).

Your Information

= Required Field

Name

Address

City and State

Zip Code

Home Phone

Work Phone

Fax Number

Club Affiliation

USAS Reg. Number

(Must match MVS records or form will NOT be accepted.

Are you currently
registered with MVS?

Yes No

Email Address

Update "Registered Coaches"

Action Requested:

Add Delete Modify N/A

Update "Officers & Committee Chairs"

Action Requested:

Add Delete Modify N/A

Update the
following items:

General Chair	Time Standards Chair
Admin Vice Chair	Safety Chair
Senior Vice Chair	Meet Procedures Chair
Age Group Vice Chair	Sanctions Chair
Sec/Members Chair	Swim-a-Thon Chair
Treasurer	Publications Chair
Coaches Rep.	Ad Hoc Outreach Chair
Asst Coaches Rep.	Scheduling Committee
Officials Chair	Timing Equip. Chair
Records Chair

Update "District Delegates"

Action Requested:

Add Delete Modify N/A

Update the
following item:

Delegate, 2-Year Term	Delegate, 3-Year Term
Sr. Athlete's Rep.	Jr. Athlete's Rep.

Update "Board of Review"

Action Requested:

Add Delete Modify N/A

Update the
following items:

Board Chair	Member #4
Member #1	Member #5
Member #2	Member #6
Member #3	Athlete's Rep.

Authorization to Display Contact Information

In accordance with the MVS Privacy Policy, certain contact information is not shown on this website unless specifically authorized by the member. Information that will not be shown includes your USAS registration number, street address, zip code and all telephone numbers (your USAS registration number is never shown even if you authorize all other information).

Indicate below whether to show your contact information on this website. To verify your identity, you MUST enter your USAS registration number above exactly as it's on file with Missouri Valley Swimming.

Display Information?

Authorized Not Authorized

E-Form: Update Contact Information

Instructions:

Your Information

= Required Field

Name

Address

City and State

Zip Code

Home Phone

Work Phone

Fax Number

Club Affiliation

USAS Reg. Number

Are you currently
registered with MVS?

Email Address

Update "Registered Coaches"

Action Requested:

Update "Officers & Committee Chairs"

Action Requested:

Update the
following items:

Update "District Delegates"

Action Requested:

Update the
following item:

Update "Board of Review"

Action Requested:

Update the
following items:

Authorization to Display Contact Information

Display Information?

Include Other Information Below

Thanks for taking the time to complete this form!

E-Form: Update Contact Information

Instructions:

Your Information

= Required Field

Name

Address

City and State

Zip Code

Home Phone

Work Phone

Fax Number

Club Affiliation

USAS Reg. Number

Are you currently registered with MVS?

Email Address

Update "Registered Coaches"

Action Requested:

Update "Officers & Committee Chairs"

Action Requested:

Update the following items:

Update "District Delegates"

Action Requested:

Update the following item:

Update "Board of Review"

Action Requested:

Update the following items:

Authorization to Display Contact Information

Display Information?

Include Other Information Below

Thanks for taking the time to complete this form!

Are you currently
registered with MVS?

Update the
following items:

Update the
following item:

Update the
following items: